Prevelance of Common Organisms Involved in Acute Appendicitis in Althowra Hospital, Elbyda, Libya
Salma S. Mohamed *
Department of General Surgery, Faculty of Medicine, Omar Al Mukhtar University, Elbyda, Libya.
Nasser Musbah
Department of General Surgery, Faculty of Medicine, Omar Al Mukhtar University, Elbyda, Libya.
Mohamed Sergaiwa
Department of General Surgery, Athowra Teaching Hospital, Elbyda, Libya.
*Author to whom correspondence should be addressed.
Abstract
Background: Bacteria have been involved in the aetiopathogenesis of acute appendicitis. The known of bacteria and antibiotic sensitivity mode will assist in modulating treatment regime for acute appendicitis.
Aim: This study aimed to find out the incidence of the offending organisms in acute appendicitis to determine the most effective antibiotic in a local population in Albyda city.
Methods: Patients with acute appendicitis presenting between January 2019 and December 2019 were studied, At surgery 1cm rim of appendix was cut from the base and sent into the transport medium. The specimen was cultured for aerobic and anaerobic bacteria, Antibiotic sensitivity test was performed.
Results: Sixty patients were conscript; Escherchia coli, gram negative bacilli were the commonest organism isolated. They were sensitive to) ciprofluxacin (65%), chloramphnical (60%) and third generation cephalosporins (52%) resistant to amoxycilin with clavulanic acid and tetracycline. The anaerobes were sensitive to metronidazole (96.5%).
Keywords: Acute appendicitis, aetiopathogenesis, flouroquinolones, cephalosporins, metronidazole.