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Multi-drug-resistant Acinetobacter baumannii intra-abdominal abscess
Brian K P Goh1, Ghassan Alkouder, Thichen K Lama
1Department of Pediatric Surgery, KK Women's and Children's Hospital, Singapore. bsgkp@hotmail.com
Surgical Infections
|October 6, 2005
Summary
Multi-drug-resistant Acinetobacter baumannii, rarely seen in appendicitis, caused a post-operative abscess in an 11-year-old boy. This case highlights potential risks of nosocomial infections in surgical patients.
Area of Science:
- Infectious Diseases
- Surgical Infections
- Microbiology
Background:
- Acute appendicitis typically involves common bacterial pathogens.
- Multi-drug-resistant (MDR) bacteria are infrequently associated with appendicitis.
- Nosocomial infections pose a significant challenge in surgical settings.
Observation:
- An 11-year-old male presented with perforated appendicitis requiring open appendectomy.
- Post-operatively, the patient developed a surgical site infection and an intra-abdominal abscess.
- Intra-operative cultures identified MDR Acinetobacter baumannii and Escherichia coli.
Findings:
- MDR Acinetobacter baumannii was isolated from both the surgical site infection and the intra-abdominal abscess.
- The patient's post-operative ceftriaxone therapy was considered a potential predisposing factor.
- This case represents an unusual occurrence of MDR A. baumannii in the context of acute appendicitis.
Implications:
- Highlights the potential for MDR organisms in surgical site infections following appendectomy.
- Suggests a need for vigilance regarding nosocomial infections in immunocompromised or post-operative patients.
- Underscores the importance of appropriate antibiotic stewardship to prevent MDR organism emergence.