pediatrics-conference-2016_posters-accepted-abstracts

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Volume 6, Issue 4(Suppl) Pediat Therapeut 2016
ISSN: 2161-0665 Pediatrics, an open access journal
Page 63
Notes:
Pediatrics Conference 2016
September 14-16, 2016
conferenceseries.com
7th European Pediatrics and
Pediatric Surgery
September 14-16, 2016 Amsterdam, Netherlands
The indication for taking microbiology swabs during pediatric appendicectomy for acute appendicitis
Nataliya Piletska and Claire Stewart
Evelina Children’s Hospital, UK
During the course of appendicectomies, microbiological swabs are often taken for culture and sensitivities; however, the
results rarely impact the antibiotic regime. The aim of this audit was to explore the frequency with which swabs are taken
for acute appendicitis and what impact their results have on subsequent management and outcome. Data was compiled from all
appendicectomies performed over a 12-month period at the Evelina London Children’s Hospital from January 2014 to 2015. In the
sample of 101 patients, 35 were performed electively and 66 for acute appendicitis. Both electronic and paper-based information were
collected regarding clinical presentation, intraoperative findings, whether bacteriological samples were taken and how the results
influenced management. It was found that of the patients being treated for acute appendicitis (n=66), 29% had generalized and 29%
had localized pus intraoperatively. 70% had cultures sent for investigation. The most common bacteria culture was Escherichia Coli,
followed by Pseudomonas aeruginosa, and then mixed anaerobes. In a third of cases, no swabs were taken. 34% of swabs taken grew no
bacteria. In 90% of cases, the antibiotic regime did not change regardless of the swab result. On 3 occasions (5%), the antibiotic regime
was changed following advice from microbiology based on culture and sensitivity results. For 3 patients (5%), the change was due
to a change in clinical picture such as persistent temperature and intra-abdominal collection. This audit studies the bacteriological
epidemiology of acute appendicitis, which antibiotics are most frequently prescribed, and the most common complications and their
management. Ultimately it explores the impact of intraoperative microbiological sampling on treatment and outcome.
Biography
Nataliya Piletska is a final year Medical student of King’s College London, due to begin her foundation year placement in Oxford University Hospitals Trust this autumn. She
has a special interest in microbiology and pediatrics, intending to continue participating in research alongside her work.
Nataliya Piletska et al., Pediat Therapeut 2016, 6:4(Suppl)