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Article dans une revue

The Microbiology of Community-acquired Peritonitis in Children

Abstract :

BACKGROUND: microbiologic data are lacking regarding pediatric community-acquired peritonitis (CAP).

METHODS: we conducted a 2-year retrospective single center study. Consecutive children undergoing CAP surgery were included. Microbiology and antimicrobial susceptibility of peritoneal isolates were analyzed.

RESULTS: a total of 70 children from 3 months to 14 years of age were included. A total of 123 bacterial isolates were analyzed. Escherichia coli was the predominant aerobic organism (51% of isolates); 54.8% were susceptible to amoxicillin whereas 90.3% were susceptible to amoxicillin-clavulanate. Anaerobes accounted for 29% of isolates, and 94.3% of strains were susceptible to amoxicillin-clavulanate and 68.5% were susceptible to clindamycin. Pseudomonas aeruginosa was present in 6% of isolates and in 10% of children. The presence of E. coli resistant to amoxicillin or to amoxicillin-clavulanate was the only independent risk factor associated with postoperative peritonitis.

CONCLUSION: microbiology of pediatric CAP is similar to adult CAP with a predominancy of E. coli and anaerobes. P. aeruginosa in peritoneal samples had no apparent influence on the outcome.

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https://hal.univ-angers.fr/hal-03329052
Contributeur : Okina Université d'Angers <>
Soumis le : lundi 30 août 2021 - 15:40:44
Dernière modification le : mardi 31 août 2021 - 03:23:57

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Romain Dumont, Raphaël Cinotti, Corinne Lejus, Jocelyne Caillon, David Boutoille, et al.. The Microbiology of Community-acquired Peritonitis in Children. The Pediatric Infectious Disease Journal, 2011, 30 (2), pp.131-135. ⟨10.1097/INF.0b013e3181eed7a4⟩. ⟨hal-03329052⟩

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