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[Peritoneal pneumococcal infections]
J M García-Arenzana1, P Idígoras, A Peris
1Servicio de Microbiología, Hospital Nuestra Señora de Aránzazu, San Sebastián.
Abstract:
The clinical-microbiological characteristics of 13 patients iun whom Streptococcus pneumoniae (Pneumococcus) was isolated from the peritoneum over eight and a half years in a third grade hospital are reviewed. It is noteworthy the fact that only in 7 cases primary or spontaneous peritonitis were treated; the remaining cases were secondary to perforation or genital infection in females. The presence of antibiotic resistance in pneumococcus was high and global mortality was low.
Insights
This study reviewed 13 cases of Streptococcus pneumoniae peritonitis. High antibiotic resistance was observed, but overall mortality remained low, highlighting effective treatment strategies for pneumococcal peritonitis.
Area of Science:
- Infectious Diseases
- Microbiology
- Clinical Medicine
Context:
- Review of clinical and microbiological data from 13 patients with Streptococcus pneumoniae peritonitis over 8.5 years.
- Study conducted in a tertiary care hospital setting.
Purpose:
- To characterize the clinical and microbiological features of pneumococcal peritonitis.
- To assess the prevalence of antibiotic resistance in Streptococcus pneumoniae isolates from peritoneal infections.
- To evaluate the mortality associated with pneumococcal peritonitis.
Summary:
- Streptococcus pneumoniae was isolated from the peritoneum in 13 patients.
- Primary peritonitis was observed in 7 cases; secondary peritonitis resulted from perforation or female genital tract infections in the remaining cases.
- High rates of antibiotic resistance were noted in the pneumococcus isolates, yet the overall mortality was low.
Impact:
- Provides insights into the clinical presentation and microbiological profiles of pneumococcal peritonitis.
- Highlights the challenge of antibiotic resistance in Streptococcus pneumoniae infections.
- Suggests that despite resistance, pneumococcal peritonitis can have a favorable outcome with appropriate management.