ALTERATIONS INTESTINAL MICROFLORA IN CHILDREN WITH ACUTE CATARRHAL APPENDICITIS

Abstract

The article deals with the effect of altered biocenosis of the cecum on the development of acute appendicitis in children and simulation of acute appendicitis of local dysbiosis in the cecum and intestinal infection. To this end, investigations of microflora in the cecum and the rectum in 96 children who were operated for acute catarrhal appendicitis (ACA) and 42 children (control group) hospitalized with injuries, fractures and wounds of ileocecal angle. Of the 96 children, diagnosis of acute catarrhal appendicitis was histologically confirmed in 58. In 41 children the diagnosis was not confirmed. A decreased bifidobacteria count was revealed in 95% of children. In control group, bifidobacteria count in ileocecal angle of the cecum was 10⁹-10¹² and fecal bifidobacteria count was 10⁷-10¹⁰. Also, pathogenic and conditionally pathogenic bacteria were detected in the cecum of children with unconfirmed diagnosis of acute catarrhal appendicitis, i. e. they simulated acute appendicitis. Fecal bacteria count was lower than that in the cecum. The children with confirmed ACA showed the presence of conditionally pathogenic bacteria.

References

[1] Анаргул К., Ичинхорлоо В., Гоош Б. Патогенные бактерии при остром аппендиците // Вестник хирургии. 1985. № 6. C. 53-54.

[2] Долецкий С.Я., Щитинин В.Е., Арапова А.В. Осложненный аппендицит у детей. - Л.: Медицина, 1982. - 192 с.

[3] Русанов А.А. Аппендицит. - Л.: Медицина, 1979. C. 17-20.

[4] Тойчуев Р.М., Маметов Р.Р., Шайназаров Т.Ш., Анарбаев К. Некоторые аспекты острого аппендицита у детей в современных условиях // Вестник Ошского ГУ 2002. № 1. С. 123-126.

[5] Тойчуев Р.М., Маметов Р.Р. Состояние биоценоза в слепой кишке при катаральном аппендиците у детей // Материалы третьего Российского конгресса «Современные технологии в педиатрии и детской хирургии». - М.: Медпрактика, 2004. - 520 с.

RIGHTS & PERMISSIONS

Toichuev R.M., Aybashev X.A.