PERITONEAL FLUID BACTERIOLOGY IN APPENDICULAR PERFORATIONS AND ITS MANAGEMENT

N Mallikarjuna Rao Medam; Buddha Devi Venkat Siddharth

Volume : IX, Issue : VI, June - 2020

PERITONEAL FLUID BACTERIOLOGY IN APPENDICULAR PERFORATIONS AND ITS MANAGEMENT

N Mallikarjuna Rao Medam, Buddha Devi Venkat Siddharth

Abstract :

Background: The second most common cause of Gastro–Intestinal perforation is the Appendicular perforations. The commonly isolated bacteria is E.Coli which is an Aerobic bacteria and the most commonly isolated Anaerobic bacteria is Bacteroides fragilis. Around 20% of the patients face mortality due to Appendicular Perforations. Materials&Methods: Patients admitted to the Maharajah�s Institute Of Medical Sciences, Vizianagaram with pain abdomen in the Right Iliac Fossa, the symptoms and signs suggestive of Appendicitis either complicated or uncomplicated. X–Ray Abdomen in Erect posture PA view Ultrasound abdomen and X–Ray Chest PA view. A total of 50 patients were included in this study. Results: A total of 50 cases were taken into the study during the duration of June 2019 to March 2020 which falls under the category of Perforated Appendix. Of these patients,28 % showed negative for bacterial culture and the rest 72% showed the culture of bacteria which is either Aerobic or Anaerobic or both. Most of the Aerobic Bacteria isolated is E.Coli. Anaerobic isolates, Bacteroides fragilis are identified. Most of the bacteria are sensitive to the Cephalosporins, Quinolones and anaerobic are responsive to Imipenems, Piperacillin. Conclusion: Cases presented with Appendicular perforations majority were on male preponderance. The morbidity and mortality are less in patients with negative culture when compared to the other patients with a positive culture. The most common Bacteria isolated was E.Coli. Of Anaerobic family Bacteroides fragilis is the most common organism isolated. Fortunately, all the patients responded to the antibiotics and were discharged.