Bacteriology and therapy of lung abscess in children

ABSTRACT

The bacteriology of lung abscess in children has not been fully investigated in Egypt. This study reports the bacteriological findings in ten children with lung abscess. The medical treatment for such cases was instituted according to the results of antibiotic sensitivity tests made to the different causative organisms.Then results of this investigation demonstrated the role of anaerobic bacteria in causing lung abscess in children. Anaerobic Organisms were present in all ten patients, in eight they were mixed with aerobic bacteria. The most frequent anaerobic isolates were peptostreptococcus, peptococcus, Bacteroides melaninogenicus and Veillonella respectively. The aerobie isolates most frequently recovered were Alpha and Beta haemolytic streptococci; Escherichia coli and Klesbiella paeumoniae, respectively. Antibiotic sensitivity tests showed that Gentamycin, Rifocin, Cephalexine and Ampicilline were the most effective antibiotics on the etiological bacteria. Treatment of the patients each with his proper chemotherapeutic drug, beside postural drainage and frequent suction have led to complete cure of all patients within 5-10 days duration