细菌概况和儿童尾炎的抗生素选择:一个回顾性队列研究
Hussein Naji1,2, Joanna Jayakumar1, Rola Ali3
1Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates.
Surgery open science
|August 9, 2023
概括
大肠杆菌是儿童尾炎病例中发现的最常见的细菌. 建议在患有尾炎的儿童中使用阿莫西西林/克拉夫兰酸进行术前抗生素预防.
科学领域:
- 微生物学 微生物学
- 儿科手术 儿科手术
- 传染性疾病 传染性疾病
背景情况:
- 急性尾炎是儿童常见的手术紧急情况.
- 识别致病细菌对于有效的抗生素管理至关重要.
- 抗生素耐药性模式需要更新的治疗指南.
研究的目的:
- 为了识别儿科急性尾炎中占主导地位的细菌.
- 确定手术前和手术后护理的最佳抗生素选择.
- 为儿童尾炎的基于证据的治疗方案提供信息.
主要方法:
- 对于接受尾切除手术的儿科患者 (14岁以下) 的回顾性队列研究.
- 从切除的附录中分析抽样培养物.
- 对人口统计,实验室和病理学数据的审查.
主要成果:
- 在48%的病例中观察到细菌生长.
- 大肠杆菌 (大肠杆菌) 是主要的细菌 (85%的阳性培养).
- 伪omonas是第二个最常见的细菌 (25%).
- 发现对珍塔米辛 (85%) 和阿莫西西林/克拉夫兰酸 (63%) 的高敏感性.
结论:
- 大肠杆菌是小儿尾炎的主要细菌病原体.
- 阿莫西西林/克拉夫兰酸是一种适合于手术前预防的抗生素.
- 研究结果支持在儿童尾炎管理中明智使用抗生素.
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