Bad bacteria in acute appendicitis: rare but relevant

Bad bacteria in acute appendicitis: rare but relevant Int J Colorectal Dis (2017) 32:1303–1311 DOI 10.1007/s00384-017-2862-0 ORIGINAL ARTICLE 1 1 1,2 1 Alexander Reinisch & Patrizia Malkomes & Nils Habbe & Wolf Otto Bechstein & Juliane Liese Accepted: 7 July 2017 /Published online: 15 July 2017 Springer-Verlag GmbH Germany 2017 Abstract were ESKAPE pathogens. Patients with MDR bacteria in AA Purpose Bacterial infections are a factor for morbidity in suffered more infectious complications (p = 0.006) and need- patients with acute appendicitis (AA). The spreading of ed longer hospitalizations (p < 0.009). In AES, aside from multidrug-resistant (MDR) bacteria is a significant problem in appendicitis, a different spectrum containing more MDR bac- surgery, and the most relevant MDR pathogens are summarized teria was cultivated (5.9 vs. 20.9%; p < 0.0001). as Enterobacteriaceae, Staphylococcus aureus, Klebsiella Conclusions Although they occur less frequently in appen- pneumoniae, Acinetobacter baumannii, Pseudomonas dectomy compared to emergency surgeries for other abdomi- aeruginosa,and Enterococci (ESKAPE) bacteria. Data regarding nal diseases, MDR bacteria are traceable in this common dis- the species and distribution of bacteria in AA are available, but ease and contribute to additional morbidity. information about the resistances and their relevance is deficient. . . . Methods In this retrospective study, we analyzed International Journal of Colorectal Disease Springer Journals

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Springer Berlin Heidelberg
Copyright © 2017 by Springer-Verlag GmbH Germany
Medicine & Public Health; Surgery; Internal Medicine; Gastroenterology; Hepatology; Proctology
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