Long-Term Results of Seton Placement for Fistula-in-ano in Infants

Inoue, Masatoshi; Sugito, Kiminobu; Ikeda, Taro; Kawashima, Hiroyuki; Hanada, Manabu; Furuya, Takeshi; Ohashi, Keiji; Koshinaga, Tsugumichi

doi:10.1007/s11605-013-2351-x

Cited by 10 publications

(11 citation statements)

References 19 publications

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“…The prevailing theories are the congenital theory, which implicates the excess production of androgens, and the one which is based on the existence of abnormal anal crypts. [2][3][4][5][6][7] The option of conservative treatment or surgery is often determined depending on personal preference of physicians rather than consensus guidelines. Surgical intervention includes incision and drainage, active probing for underlying fistulae and fistulotomy.…”

Section: Discussionmentioning

confidence: 99%

The pathogens and curative effects analysis of perianal abscess of infants under 3 months

Zhu

2019

Turk J Pediatr

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Zhu Y, Xu F. The pathogens and curative effects analysis of perianal abscess of infants under 3 months. Turk J Pediatr 2019; 61: 40-43.In order to guide clinical treatment for perianal abscess of young infants, the characteristics of pathogens and curative effects analysis were conducted. Bacterial culture results, antibiotics susceptibility tests and curative effects of abscess incision were retrospectively analyzed in 66 cases of perianal abscess of infants under 3 months. There were 48 cases of Klebsiella pneumoniae, 7 cases of Staphylococcus, 6 cases of Escherichia coli, 5 cases of Proteus in the pathogen culture results. Klebsiella pneumoniae, the predominant pathogen, was susceptible to most antibiotics, especially to imipenem, cefoperazonesulbactam and amikacin with low drug resistance rates. However, high drug resistance rates were found to ampicillin and nitrofurantion. After abscess incision, the complication rate of anal fistula was 6.6％ in infants under 3 months and 60.3％ in the adult group. There was significant difference P＜0.01. In conclusion, Klebsiella pneumoniae was the most common pathogen in perianal abscess of infants under 3 months and was commonly resistant to ampicillin and nitrofurantion. Since perianal abscess of infants under 3 months is a self-limited disorder, simple surgical intervention and synchronous sensitive antibiotic administration are suggested as the optimal management.

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Section: Discussionmentioning

confidence: 99%

The pathogens and curative effects analysis of perianal abscess of infants under 3 months

Zhu

2019

Turk J Pediatr

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“…Various other approaches to management of pediatric fistula-in-ano have been described. [11][12][13] However, these have not been compared with one another and management decisions do not have a solid basis in published data. Even in adults, management of fistulain-ano is an area of ongoing evolution and debate.…”

Section: Fistula-in-anomentioning

confidence: 99%

Anorectal Complaints: Hemorrhoids, Fissures, Abscesses, Fistulae

Jamshidi

2018

Clinics in Colon and Rectal Surgery

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Anorectal complaints are not uncommon in pediatric care, but the etiology and management can differ significantly from adults. Age is an important factor when considering etiology and management, distinguishing between infants, children, and adolescents. For all ages, malignancy is rarely a consideration, but a thorough examination of infants and children typically requires deep sedation or general anesthesia. Very little primary literature or evidence exists to guide care; so there are many opportunities for careful study to enhance our understanding beyond personal experience and historical practice patterns.

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“…13 A previous study on nasal colonization from our institution in 2005 reflects these findings with 61% of children with MRSA relative to 36% with MSSA. 6 The slight variations in MRSA prevalence maybe attributed to regional variations as demonstrated by both Creech et al and Alfaro C et al 1,14…”

Section: Discussionmentioning

confidence: 94%

“…One study found 61% of nasal colonization cultures positive for MRSA relative to 36% with methicillin-susceptible S aureus (MSSA). 6 Similarly, another study that focused on anterior nares and rectal swabs to determine colonization in children with abscesses found that 60% of these cases were MRSA positive and 40% were MSSA positive. 7 Of the abscess group, 47% of patients had S aureus in rectal cultures and 27% in nasal cultures.…”

Section: Introductionmentioning

confidence: 99%

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Risk Factors Associated With Abscess Formation in Children 5 Years of Age and Younger

Agrawal

Wright

Mehta

et al. 2014

Clin Pediatr (Phila)

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From 1997 to 2009, hospitalization rates have doubled for pediatric patients with soft tissue abscesses requiring incision and drainage. Despite this increasing national burden, few studies have been conducted to identify the risk factors associated with abscess formation. Our study evaluates a collection of physiological and lifestyle parameters that may serve as risk factors for abscess formation among pediatric patients 5 years of age or younger. Our results indicate family history and age 2 years and younger are associated with higher risk of abscess formation. Furthermore, methicillin-resistant Staphylococcus aureus and methicillin-susceptible Staphylococcus aureus were prevalent pathogens associated with abscess in our study group. Pediatricians may employ these novel parameters to educate parents and/or guardians of high-risk groups on preventing abscess formation to alleviate the burden of incision & dragining requiring abscess on health care costs.

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Long-Term Results of Seton Placement for Fistula-in-ano in Infants

Abstract: The long-term success of seton placement indicates that this procedure should be a treatment option for FIA in infants.

Cited by 10 publications

References 19 publications

The pathogens and curative effects analysis of perianal abscess of infants under 3 months

The pathogens and curative effects analysis of perianal abscess of infants under 3 months

Anorectal Complaints: Hemorrhoids, Fissures, Abscesses, Fistulae

Risk Factors Associated With Abscess Formation in Children 5 Years of Age and Younger

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