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Bacteroides infections in children

I Brook1

  • 1Department of Pediatrics, Georgetown University School of Medicine, Washington, DC, USA.

Journal of Medical Microbiology
|August 1, 1995
PubMed
Summary

Bacteroides species are crucial in pediatric infections, often occurring polymicrobially. Prompt antimicrobial therapy and surgical intervention led to high recovery rates in children.

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Area of Science:

  • Microbiology
  • Infectious Diseases
  • Pediatrics

Background:

  • Bacteroides species are common commensals but can cause serious infections.
  • Understanding their role in pediatric infections is vital for effective treatment.

Purpose of the Study:

  • To analyze the incidence, sources, and clinical significance of Bacteroides isolates in pediatric infections.
  • To identify common co-infecting organisms and predisposing factors.

Main Methods:

  • Retrospective analysis of 336 Bacteroides isolates from 274 pediatric patients between 1974 and 1990.
  • Identification of Bacteroides species, specimen sources, and co-pathogens.
  • Review of patient predisposing conditions and treatment outcomes.

Main Results:

  • Bacteroides fragilis was the most common species (54%).
  • Infections were polymicrobial in 92% of cases, frequently involving anaerobic cocci and Escherichia coli.
  • Common sources included peritoneal fluid, abscesses, and wound infections.
  • Predisposing conditions like surgery, trauma, and malignancy were noted in 53% of patients.

Conclusions:

  • Bacteroides species play a significant role in pediatric infections.
  • Combined antimicrobial therapy and surgical management result in favorable outcomes.

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