[The abdominal cavity microflora of children with appendicular peritonitis].

Specific features and variability of microflora have been investigated in 75 patients with appendicular peritonitis. The patients' age was from 2 to 15. Forty-five (45) children had local peritonitis, 17, diffuse and 13 children had total peritonitis. Complications were found in 18 (49.5%) patients. Appendicular peritonitis in children was accompanied by the permanent competition and changes in microflora. Microbiological pattern depended on the process stage and varied during a rather short period. The abundance of microorganism species during local peritonitis was gradually replaced by the prevalence of Staphylococcus aureus and especially Escherichia coli under the spread inflammation. The change of microflora during post-operation period was observed in 21 patients (56.8%). In 9 patients the change was detected on the 15th--3rd day after the operation. Complications were observed in 85.7% of patients with changed microflora in the post-operation period. A conclusion was made that the prescription of the optimal antibacterial schemes of peritonitis treatment in children should be made with the account of change of bacterial agents during pathological process.