BSK Anadolu Hospital, Department of Infectious Diseases and Clinic Microbiology, 43100 Kutahya, Turkey.
Braz J Infect Dis. 2010 May-Jun;14(3):225-9.
Treatment of perianal abscesses requires prompt surgical drainage and antimicrobial therapy. However, we should encourage the selective use of antimicrobial agents on a case-by-case basis, especially because there is no evidence that uncomplicated perianal abscesses can be safely treated only with drainage. For this reason, it is important to identify the causative organisms; therefore, we accessed the microbiological analysis of these patients.
In this study, 81 consecutive adult patients with perianal abscesses, who presented at a university hospital in Diyarbakir from January 2004 to December 2006, were included. Clinical and laboratory data, and results of microbiological analysis were recorded.
All specimens, except seven, yielded bacterial growth. Escherichia coli, Bacteriodes spp., coagulase-negative Staphylococci, and Staphylococcus aureus were the most common isolated organisms.
In contrast to other investigators, this study demonstrated that aerobic organisms are the predominant isolates in these infections.
肛周脓肿的治疗需要及时的外科引流和抗菌治疗。然而，我们应该鼓励根据具体情况选择性地使用抗菌药物，特别是因为没有证据表明单纯的肛周脓肿可以仅通过引流安全地治疗。出于这个原因，确定病原体非常重要；因此，我们对这些患者的微生物学分析进行了评估。
在这项研究中，纳入了 2004 年 1 月至 2006 年 12 月期间在迪亚巴克尔的一所大学医院就诊的 81 例连续成人肛周脓肿患者。记录了临床和实验室数据以及微生物学分析的结果。
除 7 例外，所有标本均有细菌生长。最常见的分离菌为大肠杆菌、拟杆菌属、凝固酶阴性葡萄球菌和金黄色葡萄球菌。
与其他研究人员不同，本研究表明，需氧菌是这些感染中的主要分离菌。
