[Anaerobic non-clostridial infection in acute appendicitis].
Etiological factors promoting anaerobic non-clostridial infection (ANI) after appendectomy are analyzed for the last 10 years (1993-2002). Acute appendicitis was the indication for appendectomies in 2846 patients. In 55 (1.9%) patients ANI was detected 2-7 days after surgery. Later than 24 hours since beginning of the disease 40 (72.7%) patients were hospitalized. Diagnosis of ANI was based on typical clinical symptoms confirmed with bacteriological and morphological examinations. Treatment of ANI was complex: early radical surgery, massive antibiotic therapy, hyperbaric oxygenation, intensive care. 10-14 days after the last necrectomy (wound area from 139 to 1812 cm(2)) repair dermal-plastic surgeries were performed in 48 (87.3%) patients with good functional and cosmetic results. Two (3.6%) patients with ANI died. Of six patients with general forms of ANI admitted from other hospitals 3 patients died. Sepsis was the main cause of death. Late surgeries in general forms of ANI lead to worse results.
Lokhvitskiĭ
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SV
Morozov
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D000208:Acute Disease; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001064:Appendicitis / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D001421:Bacteria, Anaerobic / Q000302:isolation & purification*; D001424:Bacterial Infections / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D003015:Clostridium Infections / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans
D000900:Anti-Bacterial Agents