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Microbiology and management of intra‐abdominal infections in children
Author(s) -
Brook Itzhak
Publication year - 2003
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1046/j.1442-200x.2003.01701.x
Subject(s) - bacteroides fragilis , medicine , microbiology and biotechnology , anaerobic bacteria , anaerobic exercise , bacteroides , peritoneal cavity , peptostreptococcus , peritoneal fluid , anaerobic infection , bacteria , surgery , antibiotics , biology , physiology , genetics
The present review describes the microbiology, diagnosis, and management of intra‐abdominal infections in children. Infection generally occurs due to the entry of enteric micro‐organisms into the peritoneal cavity through a defect in the wall of the intestine or other viscus as a result of obstruction, infarction, or direct trauma. Mixed aerobic and anaerobic flora can be recovered from the peritoneal cavity of these patients. The predominant aerobic isolates are Escherichia coli , and enterococci ; the main anaerobic bacteria are Bacteroides fragilis group, Peptostreptococcus spp. and Clostridium spp. The treatment of abdominal infection includes surgical correction and drainage, and administration of antimicrobials that are effective against both aerobic and anaerobic micro‐organisms.