Secondary Peritonitis

Mixed aerobic and anaerobic flora is recovered in the peritoneal cavity following ruptured appendix (2), diverticula, or intestinal viscus (3) and from postoperative wound (4). Similar isolates are also isolated from liver, pelvic, and subphrenic abscesses, and blood cultures of these patients. The predominant aerobic bacteria are Escherichia coli, Enterococcus faecalis, Klebsiella spp., Enterobacter spp., and the main anaerobic bacteria are gram-negative bacilli (Bacteroides fragilis group and pigmented Prevotella and Porphyromonas), Peptostreptococcus and Clostridium spp.

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