I. Brook et Eh. Frazier, Aerobic and anaerobic microbiology in intraabdominal infections associatedwith diverticulitis, J MED MICRO, 49(9), 2000, pp. 827-830
The aerobic and anaerobic microbiology of intra-abdominal infections associ
ated with diverticulitis was studied in 110 specimens from the peritoneal c
avity after intestinal perforation and in 22 specimens from abdominal absce
sses, Anaerobic bacteria only were isolated from 17 (15%) of the peritoneal
specimens, aerobic bacteria only from 12 (11%) and mixed aerobic and anaer
obic flora from 81 (74%), A total of 339 bacterial isolates was detected in
peritoneal cultures (3.1 per specimen), comprising 155 aerobes (1.4 per sp
ecimen) and 184 anaerobes (1.7 per specimen), Anaerobic bacteria only were
isolated in 4 (18%) abscesses, aerobes alone in one (5%) and mixed aerobic
and anaerobic flora in 17 (77%), A total of 72 bacterial isolates (3.3 per
specimen) was detected in abdominal abscesses - 35 aerobes (1.6 per specime
n) and 37 aerobes (1.7 per specimen), The predominant aerobic and facultati
ve bacteria in abdominal infections were Escherichia coli and Streptococcus
spp, The most frequently isolated anaerobes were Bacteroides spp, (B, frag
ilis group), Peptostreptococcus, Clostridium and Fusobacterium spp.