Frequency of portal and systemic bacteremia in acute appendicitis

Ivo Juriç, Dragan Primorac, Živojin Žagar, Mihovil Biocić, Siniša Pavïć, Dubravko Furlan, Drǎzen Budimir, Stïpan Jankovič, Petar Krešimir Hodžić, Darko Alfirević, Antonio Alujević, Marina Titlić

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)152-156
Number of pages5
JournalPediatrics International
Volume43
Issue number2
DOIs
StatePublished - May 8 2001

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health

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