The pathogens and curative effects analysis of perianal abscess of infants under 3 months
In order to guide clinical treatment for perianal abscess of young infants, the characteristics of pathogens and curative effects analysis were conducted. Bacterial culture results, antibiotics susceptibility tests and curative effects of abscess incision were retrospectively analyzed in 66 cases o...
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| Format: | Article |
| Language: | English |
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Hacettepe University Institute of Child Health
2019-02-01
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| Series: | The Turkish Journal of Pediatrics |
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| Online Access: | https://turkjpediatr.org/article/view/649 |
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| author | Yimin Zhu Fuying Xu |
| author_facet | Yimin Zhu Fuying Xu |
| author_sort | Yimin Zhu |
| collection | DOAJ |
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In order to guide clinical treatment for perianal abscess of young infants, the characteristics of pathogens and curative effects analysis were conducted. Bacterial culture results, antibiotics susceptibility tests and curative effects of abscess incision were retrospectively analyzed in 66 cases of perianal abscess of infants under 3 months. There were 48 cases of Klebsiella pneumoniae, 7 cases of Staphylococcus, 6 cases of Escherichia coli, 5 cases of Proteus in the pathogen culture results. Klebsiella pneumoniae, the predominant pathogen, was susceptible to most antibiotics, especially to imipenem, cefoperazonesulbactam and amikacin with low drug resistance rates. However, high drug resistance rates were found to ampicillin and nitrofurantion. After abscess incision, the complication rate of anal fistula was 6.6％ in infants under 3 months and 60.3％ in the adult group. There was significant difference P＜0.01. In conclusion, Klebsiella pneumoniae was the most common pathogen in perianal abscess of infants under 3 months and was commonly resistant to ampicillin and nitrofurantion. Since perianal abscess of infants under 3 months is a self-limited disorder, simple surgical intervention and synchronous sensitive antibiotic administration are suggested as the optimal management.
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| format | Article |
| id | doaj-art-1cb7a59ed3ec4c578bf74a7ac1c16f8c |
| institution | OA Journals |
| issn | 0041-4301 2791-6421 |
| language | English |
| publishDate | 2019-02-01 |
| publisher | Hacettepe University Institute of Child Health |
| record_format | Article |
| series | The Turkish Journal of Pediatrics |
| spelling | doaj-art-1cb7a59ed3ec4c578bf74a7ac1c16f8c2025-08-20T02:01:47ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212019-02-0161110.24953/turkjped.2019.01.007The pathogens and curative effects analysis of perianal abscess of infants under 3 monthsYimin Zhu0Fuying Xu1Department of General Surgery, The First Affiliated Hospital of Lishui University, Lishui, China.Department of General Surgery, The First Affiliated Hospital of Lishui University, Lishui, China. In order to guide clinical treatment for perianal abscess of young infants, the characteristics of pathogens and curative effects analysis were conducted. Bacterial culture results, antibiotics susceptibility tests and curative effects of abscess incision were retrospectively analyzed in 66 cases of perianal abscess of infants under 3 months. There were 48 cases of Klebsiella pneumoniae, 7 cases of Staphylococcus, 6 cases of Escherichia coli, 5 cases of Proteus in the pathogen culture results. Klebsiella pneumoniae, the predominant pathogen, was susceptible to most antibiotics, especially to imipenem, cefoperazonesulbactam and amikacin with low drug resistance rates. However, high drug resistance rates were found to ampicillin and nitrofurantion. After abscess incision, the complication rate of anal fistula was 6.6％ in infants under 3 months and 60.3％ in the adult group. There was significant difference P＜0.01. In conclusion, Klebsiella pneumoniae was the most common pathogen in perianal abscess of infants under 3 months and was commonly resistant to ampicillin and nitrofurantion. Since perianal abscess of infants under 3 months is a self-limited disorder, simple surgical intervention and synchronous sensitive antibiotic administration are suggested as the optimal management. https://turkjpediatr.org/article/view/649curative effectgermicu1tureinfantperiana1 abscess |
| spellingShingle | Yimin Zhu Fuying Xu The pathogens and curative effects analysis of perianal abscess of infants under 3 months The Turkish Journal of Pediatrics curative effect germicu1ture infant periana1 abscess |
| title | The pathogens and curative effects analysis of perianal abscess of infants under 3 months |
| title_full | The pathogens and curative effects analysis of perianal abscess of infants under 3 months |
| title_fullStr | The pathogens and curative effects analysis of perianal abscess of infants under 3 months |
| title_full_unstemmed | The pathogens and curative effects analysis of perianal abscess of infants under 3 months |
| title_short | The pathogens and curative effects analysis of perianal abscess of infants under 3 months |
| title_sort | pathogens and curative effects analysis of perianal abscess of infants under 3 months |
| topic | curative effect germicu1ture infant periana1 abscess |
| url | https://turkjpediatr.org/article/view/649 |
| work_keys_str_mv | AT yiminzhu thepathogensandcurativeeffectsanalysisofperianalabscessofinfantsunder3months AT fuyingxu thepathogensandcurativeeffectsanalysisofperianalabscessofinfantsunder3months AT yiminzhu pathogensandcurativeeffectsanalysisofperianalabscessofinfantsunder3months AT fuyingxu pathogensandcurativeeffectsanalysisofperianalabscessofinfantsunder3months |