Frecuencia de bacterias aerobias y anaerobias en cultivos de líquido peritoneal y tejido apendicular en pacientes operados en apendicitis complicada / Frequency of aerobic bacterial and anaerobic pathogens in cultures of peritoneal fluid

El tratamiento antimicrobiano en pacientes operados de apendicitis complicada, deben cubrir bacterias Gram negativas y anaerobios. Reportamos la frecuencia de bacterias aisladas en una población pediátrica operada de apencitis complicada en el Hospital para el Niño Poblano. Se trata de un estudio prospectiva, transversal, descriptivo. Se incluyeron 54 pacientes, con diagnóstico de apendicitis complicada. Se realizaron cutlivos de líquido peritoneal y de tejido apendicular para examen bacteriológico. El análisis de resultados fue de proporciones. Las bacterias aisladas más frecuentes fueron: Eschirichia coli, Enterococo y Bacteroides spp. Se concluyó que el cultivo de líquido peritoneal en casos de apendicitis complicada debe ser abandonado, el cirujano pediatra puede utilizar empíricamente antibióticos que cubran cepas aerobias y anaerobias, teniendo como otra referencia este reporte en pacientes pediátricos mexicanos

Biotypes and Serotypes of Haemophilus influenzae of clincial isolates from Mexican children

Background. Infectious diseases caused by H. influenzae type b are considered preventable through vaccination with Hib conjugate vaccines. Some countries which follow Hib vaccination programs are close to eradication of the disease. In Mexico in particular, little epidemiological information is available. Methods. In this study, 90 clinical strains of H. influenzae were obtained from Mexican children who were treated in four pediatric hospitals in Puebla City, and were diagnosed with invasive or localized infectious diseases. The strains were identified by standard bacteriological methods. Biotyping was done by Kilian criteria and serotyping by coagglutination. Results. H. influenzae infections were found in children younger than 5 years of age, and 68.6 percent of the children were younger than 24 months. Sixty percent of the isolates belonged to serotype b, 31.1 percent were nontypeable, and 7.7 percent were considerer nontype b. Serotype b was the most frequent isolate associated with invasive infectious diseases; however, nontypeable strains were isolated more frequently froms children with otitis, sinusitis, conjunctivitis, and bronchial secretion. Non-type b serotypes were isolated from invasive and non-invasive infections in few cases. Biotypes I and IV were the most frequent isolates of H. influenzae. Conclusions. This study emphasizes the urgent need for an Hib-conjugated vaccine to achieve immunization in a pediatric population