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[Bacteriological pattern of acute purulent balanoposthitis in children]
1Regional Children's Hospital, Birobidzhan, Russia.
Insights
Acute purulent balanoposthitis (APB) in children is primarily caused by Gram-positive bacteria like staphylococci. The identified bacteria show high resistance to common antibiotics, impacting treatment strategies.
Area of Science:
- Pediatric Infectious Diseases
- Microbiology
- Dermatology
Background:
- Acute purulent balanoposthitis (APB) is a common pediatric condition.
- Understanding the causative microflora is crucial for effective treatment.
Purpose of the Study:
- To investigate the microbial spectrum of APB in children.
- To determine antibiotic resistance patterns of isolated bacteria.
Main Methods:
- Microbiological analysis of prepucial sac samples from 94 children with APB.
- Identification of bacterial species and antibiotic susceptibility testing.
Main Results:
- Predominant isolation of facultative anaerobic and aerobic bacteria (96.7%).
- Gram-positive bacteria (85.7%) were most frequent, with Staphylococcus species dominating (51.6% of children).
- Escherichia coli was the leading Gram-negative isolate (40.6%); high antibiotic resistance observed.
Conclusions:
- Staphylococci and Gram-negative bacteria are key pathogens in pediatric APB.
- Widespread antibiotic resistance necessitates careful selection of treatments for APB.
Abstract:
The microflora of the prepucial sac in 94 children (aged 2 months to 15 years) with acute purulent balanoposthitis (APB) was studied. In the overwhelming majority of cases APB in children was caused by facultative anaerobic and aerobic bacteria (96.7%); of these, Gram positive bacteria occurred most frequently (85.7% of cases). In 51.6% of children these bacteria were represented by staphylococci, constituting 60.3% of all Gram positive flora. Gram negative bacteria were isolated in 40.6% of cases, Escherichia coli taking the first place among them. The isolated microflora was highly resistant to frequently used wide spectrum antibiotics.
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