RESUMO
The results of treatment of 223 patients with acute appendicitis, complicated with advanced (51) and local (172) peritonitis have been analysed. Antibacterial treatment was conducted with account to the results of bacteriological analysis of the peritoneal exudate. Enterobacteria and non-spore anaerobic microorganisms, sensitive to the 2d and 3d generation cephalosporins, aminoglycosides and metronidazole, were prevailing. Non-use of abdominal drains and provisional wound sutures made it possible to decrease the duration of in-hospital period to 12.7 days (15.4 days in general peritonitis; 11.8 days local peritonitis). The mortality rate was 0.4%.
Assuntos
Apendicite/complicações , Peritonite/terapia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Aminoglicosídeos , Antibacterianos/uso terapêutico , Cefalosporinas/uso terapêutico , Drenagem , Feminino , Humanos , Tempo de Internação , Masculino , Metronidazol/uso terapêutico , Pessoa de Meia-Idade , Peritonite/tratamento farmacológico , Peritonite/etiologiaRESUMO
Metronidazole (trichopol) included in the complex of curative measures in acute appendicitis complicated by local or diffuse peritonitis resulted in a substantially decreased amount of pyo-inflammatory complications after appendectomy and shorter time of staying at the hospital.