Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Primary Peritonitis in Previously Healthy Children

Primary Peritonitis in Previously Healthy Children Abstract Sir.—I noted with interest the recent article of Freij and colleagues.1I have treated 15 children with primary peritonitis in the age group of 6 months to 5 years. However, unlike the management of Freij et al, I resorted to a diagnostic tap and Gram's staining of smears for determining the management. If there were pus cells but no organisms or gram-positive bacteria, then these children were treated conservatively with gentamicin, ampicillin, and metronidazole parenterally. If the amount of pus on diagnostic tap was considerable, then peritoneal lavage was done with lactated Ringer's solution with antibiotics fortification through the same needle used for the peritoneal tap. Laparotomy was advised only if there was blood or evidence of gram-negative bacteria on the smears. All the children survived the acute episode with relief of toxic symptoms over a period of 48 hours. All these children had preceding diarrhea followed for References 1. Freij BJ, Votteler TP, McCracken GH Jr: Primary peritonitis in previously healthy children . AJDC 1984;138:1058-1061. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Primary Peritonitis in Previously Healthy Children

American Journal of Diseases of Children , Volume 139 (7) – Jul 1, 1985

Primary Peritonitis in Previously Healthy Children

Abstract

Abstract Sir.—I noted with interest the recent article of Freij and colleagues.1I have treated 15 children with primary peritonitis in the age group of 6 months to 5 years. However, unlike the management of Freij et al, I resorted to a diagnostic tap and Gram's staining of smears for determining the management. If there were pus cells but no organisms or gram-positive bacteria, then these children were treated conservatively with gentamicin, ampicillin, and metronidazole...
Loading next page...
 
/lp/american-medical-association/primary-peritonitis-in-previously-healthy-children-iwXeibkYLt

References (2)

Publisher
American Medical Association
Copyright
Copyright © 1985 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1985.02140090015013
Publisher site
See Article on Publisher Site

Abstract

Abstract Sir.—I noted with interest the recent article of Freij and colleagues.1I have treated 15 children with primary peritonitis in the age group of 6 months to 5 years. However, unlike the management of Freij et al, I resorted to a diagnostic tap and Gram's staining of smears for determining the management. If there were pus cells but no organisms or gram-positive bacteria, then these children were treated conservatively with gentamicin, ampicillin, and metronidazole parenterally. If the amount of pus on diagnostic tap was considerable, then peritoneal lavage was done with lactated Ringer's solution with antibiotics fortification through the same needle used for the peritoneal tap. Laparotomy was advised only if there was blood or evidence of gram-negative bacteria on the smears. All the children survived the acute episode with relief of toxic symptoms over a period of 48 hours. All these children had preceding diarrhea followed for References 1. Freij BJ, Votteler TP, McCracken GH Jr: Primary peritonitis in previously healthy children . AJDC 1984;138:1058-1061.

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Jul 1, 1985

There are no references for this article.