PMID: 1095111May 1, 1975Paper

Wound infections due to Bacteroides fragilis following intestinal surgery

The British Journal of Surgery
D A Leigh

Abstract

Ninety-six wound infections due to Bacteroides fragilis occurring after intestinal surgery are described. Most infections followed appendicectomy or colectomy for diverticulitis. B. fragilis was isolated in pure growth from 47 per cent of infections, and in mixed culture the other common bacteria were Klebsiella spp., Escherichia coli and Enterobacter spp. Fifty-three per cent of the infections responded rapidly to either non-specific measures or antibiotic therapy, but 47 per cent of patients developed complications, usually abscess formation. The successful isolation of bacteroides from clinical material requires special precautions. The specimen for bacteriological examination must be sent to the laboratory in a transport medium which maintains an anaerobic environment and the culture techniques must include a selective agar for the isolation of anaerobic bacteria. The role of antibiotic therapy in preventing postoperative wound infection after intestinal surgery is discussed. Bacteroides has an unusualy pattern of antibiotic susceptibility and it is essential that an effective antibiotic such as lincomycin is included in the treatment of infection originating from the intestinal tract.

References

Feb 3, 1973·Lancet·O J GilmoreB N Fletcher
Dec 1, 1974·Journal of Clinical Pathology·D A LeighE Norman
Feb 1, 1971·The British Journal of Surgery·C J LonglandJ A Garrett
Mar 1, 1972·The Journal of Infectious Diseases·J W Kislak
Nov 16, 1972·The New England Journal of Medicine·J G BartlettS M Finegold
Feb 1, 1974·The British Journal of Surgery·C EvansI L Rosenberg
Aug 1, 1972·Antimicrobial Agents and Chemotherapy·S J BodnerJ S Goodman
Apr 28, 1973·British Medical Journal·O A OkubadejoD J Payne
Apr 1, 1974·The British Journal of Surgery·I Mackenzie, A Litton
Dec 1, 1969·The British Journal of Surgery·M CrosfillD London
Oct 1, 1970·Annals of Internal Medicine·S J BodnerJ S Goodman

Citations

May 1, 1982·World Journal of Surgery·M R Keighley
Jan 8, 1977·British Medical Journal·W M Mee
Dec 1, 1982·Journal of Clinical Pathology·D Raahave, A Friis-Møller
Jan 1, 1978·Scandinavian Journal of Infectious Diseases·A Schwan, A C Rydén
Oct 1, 1981·The Journal of Applied Bacteriology·I Grzelak-Puczyńska, F Meisel-Mikołajczyk
Mar 1, 1984·American Journal of Surgery·E Arnbjörnsson, S Bengmark
Nov 1, 1978·The British Journal of Surgery·O Khan, H H Nixon
Jul 1, 1976·The British Journal of Surgery·M R KeighleyJ Alexander-Williams
Aug 1, 1978·The British Journal of Surgery·Y ArabiM R Keighley
Sep 1, 1976·Scottish Medical Journal·D A Leigh, K Simmons
Dec 21, 2019·Journal of Molecular Biology·Ezequiel Valguarnera, Juliane Bubeck Wardenburg
Feb 24, 1979·The Medical Journal of Australia·P S HuntA Sali

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