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[Anaerobic surgical infection]

A Atanasov, D Vŭlchev, I Rachkov

    Khirurgiia
    |January 1, 1995
    PubMed
    Summary

    Anaerobic bacterial flora significantly worsens surgical infection outcomes, particularly in acute cholecystitis and appendicitis. Early identification through Gram staining and considering key clinical signs is crucial for effective patient management.

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    Area of Science:

    • Surgical Infections
    • Microbiology
    • Clinical Analysis

    Context:

    • Investigated 125 patients (aged 7-82) with anaerobic surgical infections.
    • Focused on acute cholecystitis, diffuse acute peritonitis, acute appendicitis, and acute hematogenous osteomyelitis.
    • Microbiological studies performed on content, organic wall, and periorganic space in specific cases.

    Purpose:

    • To analyze the prevalence and clinical significance of anaerobic flora in surgical infections.
    • To correlate the presence of anaerobic bacteria with disease severity.
    • To establish diagnostic indicators for anaerobic infections.

    Summary:

    • Anaerobic flora identified in 39.01% of acute cholecystitis and 28.3% of acute appendicitis cases.
    • Gram-negative bacteria were prevalent (44.9% and 58%, respectively).
    • Anaerobic infections were associated with a more severe clinical course, often presenting as monoinfections (37.2%).

    Impact:

    • Highlights the importance of considering anaerobic bacterial flora in surgical infections.
    • Recommends evaluating destructive processes, odor, and intoxication for potential anaerobic involvement.
    • Emphasizes the necessity of Gram staining in microbiological examinations for prompt diagnosis.

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