[Prevention of suppurative complications of appendiceal peritonitis (author's transl)].
The high incidence and severity of suppurative complications consecutive to appendiceal rupture in children can justify this review. Mixed colonic flora, with a predominance of "E. coli" among and "B. fragilis" among anaerobes, is constantly recovered from the original purulent exudate as well as from that of suppurative complications. It seems therefore wise to complete surgical treatment with an adequate early antibiotic association direction to the particular flora. Gentamycin and Clindamycin seem to fulfill satisfactorily these requirement. On the contrary, peritoneal irrigation either with antiseptic or antibiotic fluids seems to be practically useless, and so are drains exept when they are inserted to evacuate a localized purulent collection Delayed closure of the contaminated wound can be an additional factor in the prevention of suppurative complications.
D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001064:Appendicitis / Q000150:complications*; D002981:Clindamycin / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D005839:Gentamicins / Q000627:therapeutic use; D006801:Humans; D010538:Peritonitis / Q000209:etiology / Q000517:prevention & control*; D013492:Suppuration / Q000517:prevention & control; D013530:Surgical Wound Infection / Q000188:drug therapy / Q000517:prevention & control
D000900:Anti-Bacterial Agents; D005839:Gentamicins; D002981:Clindamycin
Prevención de las complicaciones supurativas de las peritonitis apendiculares.