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Epidemiology and Microbiology of Secondary Peritonitis Caused by Viscus Perforation: A Single-Center Retrospective Study

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Bibliographic Details
Title: Epidemiology and Microbiology of Secondary Peritonitis Caused by Viscus Perforation: A Single-Center Retrospective Study
Authors: Hongjin Shim, Jun Yong Choi, Jae Gil Lee, Ji Young Jang, Seung Hwan Lee, Dongeun Yong
Contributors: Jang Ji Young, Lee Seung Hwan, Shim Hongjin, Choi Jun Yong, Yong Dongeun, Lee Jae Gil, Shim, Hong Jin, Yong, Dong Eun, Lee, Seung Hwan, Lee, Jae Gil, Jang, Ji Young, Choi, Jun Yong
Source: Surgical Infections. 16:436-442
Publisher Information: Mary Ann Liebert Inc, 2015.
Publication Year: 2015
Subject Terms: Adult, Male, 0301 basic medicine, Drug Resistance, Peritonitis, Anti-Bacterial Agents/pharmacology, 03 medical and health sciences, Intestinal Perforation/complications, Drug Resistance, Bacterial, Peritonitis/microbiology, Humans, Aged, Retrospective Studies, Cross Infection, Bacteria, Bacterial, Bacteria/isolation & purification, Middle Aged, Peritonitis/epidemiology, Anti-Bacterial Agents, 3. Good health, Intestinal Perforation/epidemiology, Community-Acquired Infections, Anti-Bacterial Agents/therapeutic use, Treatment Outcome, Bacteria/drug effects, Intestinal Perforation, Peritonitis/etiology, Female, Peritonitis/drug therapy
Description: Complicated intra-abdominal infections are serious conditions that require urgent source control and antibiotic treatment. The purpose of this study was to evaluate the epidemiology and bacterial causation of such infections using blood and peritoneal cultures of Korean patients with peritonitis originating from viscus perforation.The medical records of 419 consecutive patients who underwent emergency surgery because of bowel perforation from January 2007 to December 2011 were analyzed. Clinical characteristics, peri-operative conditions, perforation sites, and mortality data were obtained. Bacterial distributions and antibiotic resistance were evaluated using blood and peritoneal culture reports.The most common perforation site was the colon (165; 39.4%), and the overall mortality rate was 11.2%. Blood cultures were performed in 182 patients, and 20 patients (11.0%) had a positive culture. Blood culture positivity was significantly higher for colon perforations (17.7%) than perforations elsewhere (p=0.039). A peritoneal culture was performed for each of 210 patients (50.1%), and 145 of those patients (69.0%) had a positive culture. Enterococcus faecium (35.2%) was the most common gram-positive bacterium, and Escherichia coli was the most common gram-negative organism. There were 276 community-acquired infections (CAI) (65.9%) and 143 hospital-acquired infections (HAI) (34.1%). Escherichia coli producing extended-spectrum β-lactamases were more common in the HAI than in the CAI group (p=0.016).The compositions and antibiotic resistances of micro-organisms found in this study are similar to those reported previously. A multicenter prospective study is needed of this disease state in South Korea.
Document Type: Article
File Description: 436~442
Language: English
ISSN: 1557-8674
1096-2964
DOI: 10.1089/sur.2014.148
Access URL: https://pubmed.ncbi.nlm.nih.gov/26061903
https://yonsei.pure.elsevier.com/en/publications/epidemiology-and-microbiology-of-secondary-peritonitis-caused-by-
https://ir.ymlib.yonsei.ac.kr/handle/22282913/140755
https://mdanderson.elsevierpure.com/en/publications/epidemiology-and-microbiology-of-secondary-peritonitis-caused-by-
http://online.liebertpub.com/doi/10.1089/sur.2014.148
https://mdanderson.influuent.utsystem.edu/en/publications/epidemiology-and-microbiology-of-secondary-peritonitis-caused-by-viscus-perforation(0ccaaf27-8b46-4384-81c8-e6d60f70a48f).html
https://europepmc.org/article/MED/26061903
Rights: Mary Ann Liebert TDM
CC BY NC ND
Accession Number: edsair.doi.dedup.....5f502aa5728b39d4f043c045622e25c4
Database: OpenAIRE
Description
Abstract:Complicated intra-abdominal infections are serious conditions that require urgent source control and antibiotic treatment. The purpose of this study was to evaluate the epidemiology and bacterial causation of such infections using blood and peritoneal cultures of Korean patients with peritonitis originating from viscus perforation.The medical records of 419 consecutive patients who underwent emergency surgery because of bowel perforation from January 2007 to December 2011 were analyzed. Clinical characteristics, peri-operative conditions, perforation sites, and mortality data were obtained. Bacterial distributions and antibiotic resistance were evaluated using blood and peritoneal culture reports.The most common perforation site was the colon (165; 39.4%), and the overall mortality rate was 11.2%. Blood cultures were performed in 182 patients, and 20 patients (11.0%) had a positive culture. Blood culture positivity was significantly higher for colon perforations (17.7%) than perforations elsewhere (p=0.039). A peritoneal culture was performed for each of 210 patients (50.1%), and 145 of those patients (69.0%) had a positive culture. Enterococcus faecium (35.2%) was the most common gram-positive bacterium, and Escherichia coli was the most common gram-negative organism. There were 276 community-acquired infections (CAI) (65.9%) and 143 hospital-acquired infections (HAI) (34.1%). Escherichia coli producing extended-spectrum β-lactamases were more common in the HAI than in the CAI group (p=0.016).The compositions and antibiotic resistances of micro-organisms found in this study are similar to those reported previously. A multicenter prospective study is needed of this disease state in South Korea.
ISSN:15578674
10962964
DOI:10.1089/sur.2014.148