Janati R, Takvorian P, Dodat H, Chappuis J P
Chir Pediatr. 1986;27(4):201-4.
Primary peritonitis is rare condition in children. Twelve cases in previously healthy children is reported. The diagnosis was made at laparotomy in the absence of intra-abdominal findings, such as intestinal perforation. Organisms was isolated from peritoneal fluid in 7 cases, Staphylococcus aureus in 3, Streptococcus pneumoniae in 2, beta-hemolytic Streptococcus and E. coli in 1. Peritoneal fluid cultures were sterile in 5 cases, Streptococcus pneumoniae was otherwise incriminated in 2 cases. Recovery was rapid with broad-spectrum antibiotic therapy in 11 cases. One death in an infant was related to late intervention. Recent reports indicate an increase of primary peritonitis caused by gram-negative organisms. The prognosis has improved since the use of antibiotics, but its incidence appears unvarying.
原发性腹膜炎在儿童中是一种罕见疾病。本文报告了12例既往健康儿童的病例。诊断是在剖腹手术时做出的，当时未发现腹腔内病变，如肠穿孔。7例患者的腹腔积液中分离出了病原体，其中3例为金黄色葡萄球菌，2例为肺炎链球菌，1例为β-溶血性链球菌和大肠杆菌。5例患者的腹腔积液培养无菌，另有2例归因于肺炎链球菌。11例患者经广谱抗生素治疗后恢复迅速。1例婴儿死亡与干预延迟有关。最近的报告表明，革兰氏阴性菌引起的原发性腹膜炎有所增加。自使用抗生素以来，预后有所改善，但其发病率似乎没有变化。
