Appendicitis: Bacteriological Aspect And some other factors

Abstract

This study aimed to show more definite bacteriological aspects of appendicitis in patients, direct and indirect bacteriological investigations were done for specimens from appendices resected from patients admitted Ramadi General Hospital, Al-Anbar Governorate, West Iraq.
Results showed that the age range of patients was (10-40) years, Male: female ratio was (2:1) among patients within age group (10-20) years. No significant difference (P < 0.05) was found between enteric and anaerobic species, they were showing the isolation rates (43.7%) and (40.8%) respectively. Escherichia. coli took the first rank of isolation (21.1%) followed by Bacteroides. fragilis and, Staphylococcu .aureus ( 12.6%) for each. Proteus species , Peptococcus, Clostridium and other bacterial types were showing lower isolation rates. All patients were showing high white blood cell counts, mean number was more 10 4 cell/cmm. C-reactive protein was increased also in sera of patients, more than 10 mg/L. We can conclude that bacterial infections particularly those constitute facalith structure (normal colonic flora) play a role in appendicitis that is why antimicrobial choice for pre and postoperative therapy to reduce time as an important factor in constituting of complications. Both CRP and WBC are increased though they are non-specific diagnostic factors. Majority of patients were teenaged, males were showing higher rate of