The characteristics of pathogens and ana1ysis of curative effects in 66 periana1 abscess of infants under 3 months
ZHU Yimin1, XU Fuying2.
1.Department of General Surgery, Jiaxing Hospital of Armed Police Zhejiang Corps, Jiaxing, 314000; 2.Department of Internal Medicine, Wangjiangjing Hospital of Xiuzhou, Jiaxing,
314000
ZHU Yimin,XU Fuying.. The characteristics of pathogens and ana1ysis of curative effects in 66 periana1 abscess of infants under 3 months [J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2016, 46(3): 226-228.
Abstract：Objective: Pathogen identification, antibiotics susceptibi1ity test and curative effects ana1ysis were conducted in perianal abscess of infants under 3 months to guide clinical treatment for such cases. Methods: Bacterial culture results, antibiotics susceptibi1ity test and curative effects of incision and drainage of abscess were retrospectively analyzed in 66 cases of periana1 abscess of infants under 3 months. Results: Forty-eight cases were Klebsiella pneumonia, 7 cases Staphylococcus, 6 cases Escherichia coli and 5 cases of proteus in the pathogen culture results. Klebsiella pneumonia-the common pathogenic bacteria was susceptible to the majority of antibiotics, especially to imipenem, cefoperazone-sulbactam and amikacin with low drug resistance rate. However, high drug resistance rates were found in ampicillin and nitrofurantion. After incision and drinage of abscess 6.6% complication of anal fistula was happened in infants under 3 months and 60.3% in the control adult group. There was significant difference P<0.01. Conclusion: Klebsiella pneumonia is the most common pathogen in periana1 abscess of infants under 3 months and was commonly resistant to ampicillin and nitrofurantion. Since it recovered well, periana1 abscess of infants under 3 months should be done with simple surgery.
