Perianal abscess in children: an evaluation of microbiological etiology and the effectiveness of antibiotics
Purpose We aimed to evaluate the demographic characteristics of children with perianal abscess, distribution of microbiological etiology, antibiotic susceptibility, and identify the effectiveness and coverage of antibiotics due to culture results. Methods A retrospective study was designed to evalua...
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Veröffentlicht in: | Pediatric surgery international 2023-09, Vol.39 (1), p.272-272, Article 272 |
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creator | Guner Ozenen, Gizem Akaslan Kara, Aybuke Ozer, Arife Kacar, Pelin Ergun, Deniz Aydin, Aysenur Genisol Ataman, Incinur Polatdemir, Kamer Payza, Ayse Demet Sorguc, Yelda Oral, Akgun Bayram, Nuri Devrim, Ilker |
description | Purpose
We aimed to evaluate the demographic characteristics of children with perianal abscess, distribution of microbiological etiology, antibiotic susceptibility, and identify the effectiveness and coverage of antibiotics due to culture results.
Methods
A retrospective study was designed to evaluate pediatric patients with perianal abscesses between January 2013 and December 2022.
Results
A total of 197 episodes in 135 patients were evaluated. The median age of the patients was 10 months (22 days–17 years). The isolated microorganisms were Gram-positive bacteria in 56 (28.4%) patients and Gram-negative bacteria in 141 (71.6%) patients. The most common isolated species was
Escherichia coli
(
n
= 70, 35.5%), followed by
Klebsiella
spp. (
n
= 48, 24.4%),
Staphylococcus aureus
(
n
= 37, 18.9%), and
Enterobacter
spp. (
n
= 9, 4.5%). Forthy-two percent (
n
= 58) of isolates were positive for extended-spectrum beta-lactamase, 8% (
n
= 11) were carbapenem-resistant in Gram-negative bacteria, and 37.5% (
n
= 21) were methicillin-resistant, 7.1% (
n
= 4) were vancomycin-resistant in Gram-positive bacteria. According to bacterial culture results, ertapenem plus glycopeptide had the highest antimicrobial coverage rate (92.3%), followed by ertapenem plus clindamycin (89.8%), ertapenem (81.7%), third-generation cephalosporin plus glycopeptide (82.2%), third-generation cephalosporin plus clindamycin (69.5%).
Conclusion
Ertapenem can be a good choice in the empirical treatment of perianal abscesses in children due to its high coverage rate. |
doi_str_mv | 10.1007/s00383-023-05556-1 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2863769653</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2863769653</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-9e41921f119106bf0bdddde20dc90ea2ed842a15218330792b5139149a0c05b33</originalsourceid><addsrcrecordid>eNp9kU9r3DAQxUVoyP8v0EMQ9NKLkxnJsq3eytI2gUBySM5ClscbBa-cSnYg377adZqWHioQGtDvvWHmMfYR4QIB6ssEIBtZgMhXKVUVuMeOsJR1oRuUH_6qD9lxSk8A0MhKH7BDWVdayVofseGOorfBDty2yVFK3AfuHv3QRQpfuA2cXuww28mPgY8933gXx9aPw7j2Lqto2tWvmez49Eic-p7c5F8obM2ywobJZ8HkXTpl-70dEp29vSfs4fu3-9VVcXP743r19aZwslZToalELbBH1AhV20Pb5UMCOqeBrKCuKYVFJbCREmotWoVSY6ktOFCtlCfs8-L7HMefM6XJbHwebhhsoHFORjTVdgOV2qKf_kGfxjnmfSxUhVVZ15kSC5WHTylSb56j39j4ahDMNguzZGFyFmaXhcEsOn-zntsNde-S38vPgFyAlL_CmuKf3v-x_QXqGJSe</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2863616477</pqid></control><display><type>article</type><title>Perianal abscess in children: an evaluation of microbiological etiology and the effectiveness of antibiotics</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Guner Ozenen, Gizem ; Akaslan Kara, Aybuke ; Ozer, Arife ; Kacar, Pelin ; Ergun, Deniz ; Aydin, Aysenur ; Genisol Ataman, Incinur ; Polatdemir, Kamer ; Payza, Ayse Demet ; Sorguc, Yelda ; Oral, Akgun ; Bayram, Nuri ; Devrim, Ilker</creator><creatorcontrib>Guner Ozenen, Gizem ; Akaslan Kara, Aybuke ; Ozer, Arife ; Kacar, Pelin ; Ergun, Deniz ; Aydin, Aysenur ; Genisol Ataman, Incinur ; Polatdemir, Kamer ; Payza, Ayse Demet ; Sorguc, Yelda ; Oral, Akgun ; Bayram, Nuri ; Devrim, Ilker</creatorcontrib><description>Purpose
We aimed to evaluate the demographic characteristics of children with perianal abscess, distribution of microbiological etiology, antibiotic susceptibility, and identify the effectiveness and coverage of antibiotics due to culture results.
Methods
A retrospective study was designed to evaluate pediatric patients with perianal abscesses between January 2013 and December 2022.
Results
A total of 197 episodes in 135 patients were evaluated. The median age of the patients was 10 months (22 days–17 years). The isolated microorganisms were Gram-positive bacteria in 56 (28.4%) patients and Gram-negative bacteria in 141 (71.6%) patients. The most common isolated species was
Escherichia coli
(
n
= 70, 35.5%), followed by
Klebsiella
spp. (
n
= 48, 24.4%),
Staphylococcus aureus
(
n
= 37, 18.9%), and
Enterobacter
spp. (
n
= 9, 4.5%). Forthy-two percent (
n
= 58) of isolates were positive for extended-spectrum beta-lactamase, 8% (
n
= 11) were carbapenem-resistant in Gram-negative bacteria, and 37.5% (
n
= 21) were methicillin-resistant, 7.1% (
n
= 4) were vancomycin-resistant in Gram-positive bacteria. According to bacterial culture results, ertapenem plus glycopeptide had the highest antimicrobial coverage rate (92.3%), followed by ertapenem plus clindamycin (89.8%), ertapenem (81.7%), third-generation cephalosporin plus glycopeptide (82.2%), third-generation cephalosporin plus clindamycin (69.5%).
Conclusion
Ertapenem can be a good choice in the empirical treatment of perianal abscesses in children due to its high coverage rate.</description><identifier>ISSN: 1437-9813</identifier><identifier>ISSN: 0179-0358</identifier><identifier>EISSN: 1437-9813</identifier><identifier>DOI: 10.1007/s00383-023-05556-1</identifier><identifier>PMID: 37695379</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Abscess - drug therapy ; Abscess - microbiology ; Abscesses ; Adolescent ; Anti-Bacterial Agents - therapeutic use ; Antibiotics ; Anus Diseases ; Bacteria ; Child ; Child, Preschool ; Female ; Gram-negative bacteria ; Gram-positive bacteria ; Gram-Positive Bacteria - drug effects ; Gram-Positive Bacterial Infections - drug therapy ; Humans ; Infant ; Male ; Medicine ; Medicine & Public Health ; Original Article ; Pediatric Surgery ; Pediatrics ; Retrospective Studies ; Surgery</subject><ispartof>Pediatric surgery international, 2023-09, Vol.39 (1), p.272-272, Article 272</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-9e41921f119106bf0bdddde20dc90ea2ed842a15218330792b5139149a0c05b33</citedby><cites>FETCH-LOGICAL-c375t-9e41921f119106bf0bdddde20dc90ea2ed842a15218330792b5139149a0c05b33</cites><orcidid>0000-0001-9232-0084 ; 0000-0002-6069-1478 ; 0000-0002-5250-7335 ; 0000-0001-7537-6617 ; 0000-0002-9725-7501 ; 0000-0002-7278-3951 ; 0000-0003-1802-2518 ; 0000-0003-3843-5942 ; 0000-0002-6053-8027 ; 0000-0002-9212-5155</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00383-023-05556-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00383-023-05556-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37695379$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Guner Ozenen, Gizem</creatorcontrib><creatorcontrib>Akaslan Kara, Aybuke</creatorcontrib><creatorcontrib>Ozer, Arife</creatorcontrib><creatorcontrib>Kacar, Pelin</creatorcontrib><creatorcontrib>Ergun, Deniz</creatorcontrib><creatorcontrib>Aydin, Aysenur</creatorcontrib><creatorcontrib>Genisol Ataman, Incinur</creatorcontrib><creatorcontrib>Polatdemir, Kamer</creatorcontrib><creatorcontrib>Payza, Ayse Demet</creatorcontrib><creatorcontrib>Sorguc, Yelda</creatorcontrib><creatorcontrib>Oral, Akgun</creatorcontrib><creatorcontrib>Bayram, Nuri</creatorcontrib><creatorcontrib>Devrim, Ilker</creatorcontrib><title>Perianal abscess in children: an evaluation of microbiological etiology and the effectiveness of antibiotics</title><title>Pediatric surgery international</title><addtitle>Pediatr Surg Int</addtitle><addtitle>Pediatr Surg Int</addtitle><description>Purpose
We aimed to evaluate the demographic characteristics of children with perianal abscess, distribution of microbiological etiology, antibiotic susceptibility, and identify the effectiveness and coverage of antibiotics due to culture results.
Methods
A retrospective study was designed to evaluate pediatric patients with perianal abscesses between January 2013 and December 2022.
Results
A total of 197 episodes in 135 patients were evaluated. The median age of the patients was 10 months (22 days–17 years). The isolated microorganisms were Gram-positive bacteria in 56 (28.4%) patients and Gram-negative bacteria in 141 (71.6%) patients. The most common isolated species was
Escherichia coli
(
n
= 70, 35.5%), followed by
Klebsiella
spp. (
n
= 48, 24.4%),
Staphylococcus aureus
(
n
= 37, 18.9%), and
Enterobacter
spp. (
n
= 9, 4.5%). Forthy-two percent (
n
= 58) of isolates were positive for extended-spectrum beta-lactamase, 8% (
n
= 11) were carbapenem-resistant in Gram-negative bacteria, and 37.5% (
n
= 21) were methicillin-resistant, 7.1% (
n
= 4) were vancomycin-resistant in Gram-positive bacteria. According to bacterial culture results, ertapenem plus glycopeptide had the highest antimicrobial coverage rate (92.3%), followed by ertapenem plus clindamycin (89.8%), ertapenem (81.7%), third-generation cephalosporin plus glycopeptide (82.2%), third-generation cephalosporin plus clindamycin (69.5%).
Conclusion
Ertapenem can be a good choice in the empirical treatment of perianal abscesses in children due to its high coverage rate.</description><subject>Abscess - drug therapy</subject><subject>Abscess - microbiology</subject><subject>Abscesses</subject><subject>Adolescent</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Antibiotics</subject><subject>Anus Diseases</subject><subject>Bacteria</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Gram-negative bacteria</subject><subject>Gram-positive bacteria</subject><subject>Gram-Positive Bacteria - drug effects</subject><subject>Gram-Positive Bacterial Infections - drug therapy</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><issn>1437-9813</issn><issn>0179-0358</issn><issn>1437-9813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kU9r3DAQxUVoyP8v0EMQ9NKLkxnJsq3eytI2gUBySM5ClscbBa-cSnYg377adZqWHioQGtDvvWHmMfYR4QIB6ssEIBtZgMhXKVUVuMeOsJR1oRuUH_6qD9lxSk8A0MhKH7BDWVdayVofseGOorfBDty2yVFK3AfuHv3QRQpfuA2cXuww28mPgY8933gXx9aPw7j2Lqto2tWvmez49Eic-p7c5F8obM2ywobJZ8HkXTpl-70dEp29vSfs4fu3-9VVcXP743r19aZwslZToalELbBH1AhV20Pb5UMCOqeBrKCuKYVFJbCREmotWoVSY6ktOFCtlCfs8-L7HMefM6XJbHwebhhsoHFORjTVdgOV2qKf_kGfxjnmfSxUhVVZ15kSC5WHTylSb56j39j4ahDMNguzZGFyFmaXhcEsOn-zntsNde-S38vPgFyAlL_CmuKf3v-x_QXqGJSe</recordid><startdate>20230911</startdate><enddate>20230911</enddate><creator>Guner Ozenen, Gizem</creator><creator>Akaslan Kara, Aybuke</creator><creator>Ozer, Arife</creator><creator>Kacar, Pelin</creator><creator>Ergun, Deniz</creator><creator>Aydin, Aysenur</creator><creator>Genisol Ataman, Incinur</creator><creator>Polatdemir, Kamer</creator><creator>Payza, Ayse Demet</creator><creator>Sorguc, Yelda</creator><creator>Oral, Akgun</creator><creator>Bayram, Nuri</creator><creator>Devrim, Ilker</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9232-0084</orcidid><orcidid>https://orcid.org/0000-0002-6069-1478</orcidid><orcidid>https://orcid.org/0000-0002-5250-7335</orcidid><orcidid>https://orcid.org/0000-0001-7537-6617</orcidid><orcidid>https://orcid.org/0000-0002-9725-7501</orcidid><orcidid>https://orcid.org/0000-0002-7278-3951</orcidid><orcidid>https://orcid.org/0000-0003-1802-2518</orcidid><orcidid>https://orcid.org/0000-0003-3843-5942</orcidid><orcidid>https://orcid.org/0000-0002-6053-8027</orcidid><orcidid>https://orcid.org/0000-0002-9212-5155</orcidid></search><sort><creationdate>20230911</creationdate><title>Perianal abscess in children: an evaluation of microbiological etiology and the effectiveness of antibiotics</title><author>Guner Ozenen, Gizem ; Akaslan Kara, Aybuke ; Ozer, Arife ; Kacar, Pelin ; Ergun, Deniz ; Aydin, Aysenur ; Genisol Ataman, Incinur ; Polatdemir, Kamer ; Payza, Ayse Demet ; Sorguc, Yelda ; Oral, Akgun ; Bayram, Nuri ; Devrim, Ilker</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-9e41921f119106bf0bdddde20dc90ea2ed842a15218330792b5139149a0c05b33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Abscess - drug therapy</topic><topic>Abscess - microbiology</topic><topic>Abscesses</topic><topic>Adolescent</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Antibiotics</topic><topic>Anus Diseases</topic><topic>Bacteria</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>Gram-negative bacteria</topic><topic>Gram-positive bacteria</topic><topic>Gram-Positive Bacteria - drug effects</topic><topic>Gram-Positive Bacterial Infections - drug therapy</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Guner Ozenen, Gizem</creatorcontrib><creatorcontrib>Akaslan Kara, Aybuke</creatorcontrib><creatorcontrib>Ozer, Arife</creatorcontrib><creatorcontrib>Kacar, Pelin</creatorcontrib><creatorcontrib>Ergun, Deniz</creatorcontrib><creatorcontrib>Aydin, Aysenur</creatorcontrib><creatorcontrib>Genisol Ataman, Incinur</creatorcontrib><creatorcontrib>Polatdemir, Kamer</creatorcontrib><creatorcontrib>Payza, Ayse Demet</creatorcontrib><creatorcontrib>Sorguc, Yelda</creatorcontrib><creatorcontrib>Oral, Akgun</creatorcontrib><creatorcontrib>Bayram, Nuri</creatorcontrib><creatorcontrib>Devrim, Ilker</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric surgery international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Guner Ozenen, Gizem</au><au>Akaslan Kara, Aybuke</au><au>Ozer, Arife</au><au>Kacar, Pelin</au><au>Ergun, Deniz</au><au>Aydin, Aysenur</au><au>Genisol Ataman, Incinur</au><au>Polatdemir, Kamer</au><au>Payza, Ayse Demet</au><au>Sorguc, Yelda</au><au>Oral, Akgun</au><au>Bayram, Nuri</au><au>Devrim, Ilker</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Perianal abscess in children: an evaluation of microbiological etiology and the effectiveness of antibiotics</atitle><jtitle>Pediatric surgery international</jtitle><stitle>Pediatr Surg Int</stitle><addtitle>Pediatr Surg Int</addtitle><date>2023-09-11</date><risdate>2023</risdate><volume>39</volume><issue>1</issue><spage>272</spage><epage>272</epage><pages>272-272</pages><artnum>272</artnum><issn>1437-9813</issn><issn>0179-0358</issn><eissn>1437-9813</eissn><abstract>Purpose
We aimed to evaluate the demographic characteristics of children with perianal abscess, distribution of microbiological etiology, antibiotic susceptibility, and identify the effectiveness and coverage of antibiotics due to culture results.
Methods
A retrospective study was designed to evaluate pediatric patients with perianal abscesses between January 2013 and December 2022.
Results
A total of 197 episodes in 135 patients were evaluated. The median age of the patients was 10 months (22 days–17 years). The isolated microorganisms were Gram-positive bacteria in 56 (28.4%) patients and Gram-negative bacteria in 141 (71.6%) patients. The most common isolated species was
Escherichia coli
(
n
= 70, 35.5%), followed by
Klebsiella
spp. (
n
= 48, 24.4%),
Staphylococcus aureus
(
n
= 37, 18.9%), and
Enterobacter
spp. (
n
= 9, 4.5%). Forthy-two percent (
n
= 58) of isolates were positive for extended-spectrum beta-lactamase, 8% (
n
= 11) were carbapenem-resistant in Gram-negative bacteria, and 37.5% (
n
= 21) were methicillin-resistant, 7.1% (
n
= 4) were vancomycin-resistant in Gram-positive bacteria. According to bacterial culture results, ertapenem plus glycopeptide had the highest antimicrobial coverage rate (92.3%), followed by ertapenem plus clindamycin (89.8%), ertapenem (81.7%), third-generation cephalosporin plus glycopeptide (82.2%), third-generation cephalosporin plus clindamycin (69.5%).
Conclusion
Ertapenem can be a good choice in the empirical treatment of perianal abscesses in children due to its high coverage rate.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>37695379</pmid><doi>10.1007/s00383-023-05556-1</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0001-9232-0084</orcidid><orcidid>https://orcid.org/0000-0002-6069-1478</orcidid><orcidid>https://orcid.org/0000-0002-5250-7335</orcidid><orcidid>https://orcid.org/0000-0001-7537-6617</orcidid><orcidid>https://orcid.org/0000-0002-9725-7501</orcidid><orcidid>https://orcid.org/0000-0002-7278-3951</orcidid><orcidid>https://orcid.org/0000-0003-1802-2518</orcidid><orcidid>https://orcid.org/0000-0003-3843-5942</orcidid><orcidid>https://orcid.org/0000-0002-6053-8027</orcidid><orcidid>https://orcid.org/0000-0002-9212-5155</orcidid></addata></record> |
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source | MEDLINE; SpringerNature Journals |
subjects | Abscess - drug therapy Abscess - microbiology Abscesses Adolescent Anti-Bacterial Agents - therapeutic use Antibiotics Anus Diseases Bacteria Child Child, Preschool Female Gram-negative bacteria Gram-positive bacteria Gram-Positive Bacteria - drug effects Gram-Positive Bacterial Infections - drug therapy Humans Infant Male Medicine Medicine & Public Health Original Article Pediatric Surgery Pediatrics Retrospective Studies Surgery |
title | Perianal abscess in children: an evaluation of microbiological etiology and the effectiveness of antibiotics |
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