Characteristics of Abdominal Microflora, Ozonated Physiological Saline Solution in Children Patients with Peritonitis after Appendicitis

B.M. Bodnar, A.M. Unguryan, I.Y. Sidorchuk, O.B. Bodnar

Abstract


The paper is based on the analysis of the results of the abdominal microflora research in children with peritonitis after appendicitis and determination of sensitivity of the selected clinical bacterial cultures to antibiotics.
Purpose of work. To investigate the etiology of abdominal inflammatory process and sensitivity of the selected clinical cultures to the antibiotics in children with peritonitis after appendicitis.
Material and methods. There were examined 24 children is with peritonitis after appendicitis (11 girls, 13 boys). Among them 11 children had local peritonitis, 6 children had diffuse one, 2 children had general one, 5 children had periappendiceal abscess. The results of the research showed that in the inflammatory process in lymphatic tissue, associated with the appendix mucus membrane, a leading role belongs to opportunistic Escherichia being at a high population level that results in the microbe translocation into the peritoneal cavity.
Results and discussion. From 24 standards of exsudate of peritoneal cavity 27 bacterial strains of 10 various taxonomic groups were distinguished and identified. The analysis of continuous rate, frequency demonstrated that the leading causative agents are opportunistic Enterobacteriaceae — Escherichia, Enterobacter, Citrobaсter and Proteus. Among Enterobacteriaceae the collibacillus occurs more frequently (45.83 and 0.41, respectively), and Enterobacteriaceae — 66.67 and 0.62, respectively.
Conclusions. Uing the sanitation method within 3–5 min sterilizing is effective in contamination of peritoneal cavity with S.pyogenеs and C.albicans. There is noted the significant reduction of population level of Enterobacteriaceae — 17,9 % (from 7.15 to 5.78), Staphylococcus — 32.13 % (from 4.44 to 5.78), vulgar proteus — 33.3 % (from 6.0 to 4.0) and pseudomonade — 37.5 % (from 5.0 to 8.0). In addition the tendency to 8.8 % reduction of Escherichia (from 8.54 to 7.78).


Keywords


abdominal microflora; peritonitis; children; ozonated physiological saline solution

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DOI: https://doi.org/10.22141/1997-2938.1.20.2013.87727

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