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Intra-abdominal, retroperitoneal, and visceral abscesses in children

I Brook1

  • 1Department of Pediatrics, Georgetown University School of Medicine, Washington, DC 20016, USA. ib6@georgetown.edu

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [Et Al] = Zeitschrift Fur Kinderchirurgie
|September 3, 2004
PubMed

Insights

This review covers pediatric intra-abdominal abscesses, detailing their causes, common bacteria, and treatment. Management involves drainage, surgery, and antibiotics targeting both aerobic and anaerobic microbes.

Area of Science:

  • Pediatric Infectious Diseases
  • Surgical Microbiology

Background:

  • Intra-abdominal abscesses in children often arise from peritonitis, frequently secondary to appendicitis or necrotizing enterocolitis.
  • Causes include intestinal defects from obstruction, infarction, or trauma, allowing enteric microorganisms to enter the peritoneal cavity.

Purpose of the Study:

  • To review the microbiology, diagnosis, and management of pediatric intra-abdominal abscesses.
  • To outline common pathogens and effective treatment strategies for these infections.

Main Methods:

  • Literature review focusing on intra-abdominal abscesses in pediatric populations.
  • Analysis of microbiological data, diagnostic approaches, and therapeutic interventions.

Main Results:

  • Commonly identified aerobic bacteria include Escherichia coli, Staphylococcus aureus, and Enterococcus spp.
  • Predominant anaerobic isolates are Bacteroides fragilis group, Peptostreptococcus spp., Fusobacterium spp., and Clostridium spp.
  • Abscesses are often polymicrobial, involving both aerobic and anaerobic organisms.

Conclusions:

  • Effective management of pediatric intra-abdominal abscesses requires a multi-modal approach.
  • Treatment necessitates source control (drainage, surgery) and broad-spectrum antimicrobial therapy.
  • Targeting both aerobic and anaerobic bacteria is crucial for successful outcomes.

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