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Frequency of portal and systemic bacteremia in acute appendicitis (CROSBI ID 96883)

Prilog u časopisu | izvorni znanstveni rad | međunarodna recenzija

Jurić, Ivo ; Primorac, Dragan ; Žagar, Živojin ; Biočić, Mihovil ; Pavić, Siniša ; Furlan, Dubravko ; Budimir, Dražen ; Janković, Stipan ; Hodžić, Petar Krešimir ; Alfirević, Darko et al. Frequency of portal and systemic bacteremia in acute appendicitis // Pediatrics international, 43 (2001), 2; 152-156. doi: 10.1046/j.1442-200x.2001.01360.x

Podaci o odgovornosti

Jurić, Ivo ; Primorac, Dragan ; Žagar, Živojin ; Biočić, Mihovil ; Pavić, Siniša ; Furlan, Dubravko ; Budimir, Dražen ; Janković, Stipan ; Hodžić, Petar Krešimir ; Alfirević, Darko ; Alujević, Antonio ; Titlić, Marina

engleski

Frequency of portal and systemic bacteremia in acute appendicitis

Background: Acute appendicitis is the most common condition requiring an emergency abdominal operation in childhood. In the present study, we analyzed the frequency of portal and systemic bacteremia in 42 patients with acute appendicitis and determined the microbial agents responsible for an acute appendicitis and for portal and systemic bacteremia. Methods: Appendectomies were performed on 50 young patients (5-18 years of age), as well as clinical and bacteriological tests. Six independent samples from each patient isolated from the peripheral vein, superior mesenteric vein, appendix and peritoneum were obtained prior to surgery, during surgery and after surgery for biochemical, immunologic and bacteriologic examination. Results: Pathohistology confirmed the diagnosis of appendicitis in 42 patients, while in the other eight patients there were no obvious pathologic findings, so they served as a control group. Of 50 patients with a clinical appearance of acute appendicitis, in 19 patients (38%) we detected portal bacteremia in the mesenteric vein, while in only three cases (6%) did we find systemic bacteremia detected from the peripheral vein. Furthermore, bacteriologic analysis revealed that Bacteroides spp. and Escherichia coli were the predominant species isolated. Conclusions: The results presented in this paper suggests that portal bacteremia did not influence peripheral blood reactions. Furthermore, in the present study we have found a positive correlation between the smear and bacteremia of the superior mesenteric vein, but not with the bacteremia of systemic blood.

acute appendicitis; portal bacteremia; systemic bacteremia

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Podaci o izdanju

43 (2)

2001.

152-156

objavljeno

1328-8067

1442-200X

10.1046/j.1442-200x.2001.01360.x

Povezanost rada

nije evidentirano

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