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Streptococcus milleri in appendicitis in children.

N P Madden, C A Hart

    Journal of Pediatric Surgery
    |February 1, 1985
    PubMed
    Summary
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    Streptococcus milleri is a common cause of infection after childhood appendectomies. This finding is important for planning effective antibiotic treatments for pediatric appendicitis.

    Area of Science:

    • Pediatric Surgery
    • Infectious Diseases
    • Microbiology

    Background:

    • Appendicitis is a common surgical emergency in children.
    • Postoperative infections can complicate appendectomies, impacting recovery.
    • Identifying causative pathogens is crucial for effective treatment.

    Purpose of the Study:

    • To investigate the pathogens involved in postoperative infections following pediatric appendectomies.
    • To determine the prevalence of Streptococcus milleri in these infections.

    Main Methods:

    • Retrospective analysis of 253 pediatric appendectomies performed over one year.
    • Microbiological analysis of pus samples from infected cases.
    • Identification and quantification of isolated bacterial species.

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    Main Results:

    • Postoperative infections occurred in 38 children.
    • Streptococcus milleri was isolated from 11 (29%) of these infected cases.
    • S. milleri was the most frequently identified pathogen in children with appendiceal infections.

    Conclusions:

    • Streptococcus milleri is a significant pathogen in childhood appendicitis.
    • The prevalence of S. milleri warrants consideration in antibiotic therapy selection for pediatric appendicitis.
    • This data can inform empirical antibiotic strategies for suspected appendiceal infections in children.