Abstract
Since the thorough literature review by Altemeier and his documentation that both anaerobic as well as aerobic species are responsible for the bacterial peritonitis in perforated appendicitis, seldom have reports cited anaerobes as being involved in infections developing after peritoneal, pelvic, or perineal contamination by intestinal contents (1, 3, 4, 6, 7). Recently, however, Gorbach and associates have repeatedly stressed an almost routine soilage of the peritoneal cavity by anaerobes whenever gastrointestinal perforation has occurred as a result of disease or trauma (4,7). Subsequent infections following such contamination have also been due primarily to a multiplicity of bacterial species having both anaerobic as well as aerobic culture requirements. This synergistic combination of aerobes and anaerobes has appeared to offer a valid argument for the polymicrobial basis, not a single species, as the cause of the majority of infections developing on a surgical ward (4, 6).
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Altemeier, W.A.: The Bacterial Flora of Acute Perforated Appendicitis with Peritonitis. Ann. Surg., 107:517, 1938.
Bauer, A.W., Kirby, W.M.M. , Sherris, J.C., and Tuck, M. : Antibiotic Susceptibility Testing By a Standardized Single Disc Method. Am. J. Clin. Pathol., 45:493, 1966.
Beazley, R.M., Polakavetz, S.H., and Miller, R.M.: Bacteroides Infections on a University Surgical Service. Surg., Gynec., & Obstet., 135: 742, 1972.
Gorbach, S.L., and Bartlett, J.G.: Anaerobic Infections. New Eng. J. Med., 290:1177, 1237 & 1269, 1974.
Holdeman, L.V. , and Moore, W.E.C.: Anaerobe Laboratory Manual. VPI Anaerobe Laboratory, Blacksburg, Va., 1972.
Stone, H.H., Kolb, L.D., and Geheber, C.E.: Incidence and Significance of Intraperitoneal Anaerobic Bacteria. Ann. Surg., 181:705, 1975.
Thadepalli, H., Gorbach, S.W., Broido, P.W., Norsen, J., and Nyhus, L.: Abdominal Trauma, Anaerobes, and Antibiotics. Surg., Gynec, & Obstet., 137:270, 1973.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1976 Plenum Press, New York
About this chapter
Cite this chapter
Stone, H.H., Kolb, L.D. (1976). Incidence and Significance of Anaerobes in the Abdomen. In: Williams, J.D., Geddes, A.M. (eds) Chemotherapy. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-4346-2_40
Download citation
DOI: https://doi.org/10.1007/978-1-4613-4346-2_40
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4613-4348-6
Online ISBN: 978-1-4613-4346-2
eBook Packages: Springer Book Archive