Nataliya Piletska
Evelina Children’s Hospital, London
Title: The Indication for Taking Microbiology Swabs During Paediatric Appendicectomy for Acute Appendicitis
Biography
Biography: Nataliya Piletska
Abstract
During the course of appendicectomies, microbiological swabs are often taken for culture and sensitivities; however, the results rarely impact the antibiotic regime. The aim of this audit was to explore the frequency with which swabs are taken for acute appendicitis and what impact their results have on subsequent management and outcome.Data was compiled from all appendicectomies performed over a 12-month period at the Evelina London Children’s Hospital from January 2014-15. In the sample of 101 patients, 35 were performed electively and 66 for acute appendicitis. Both electronic and paper-based information was collected regarding clinical presentation, intraoperative findings, whether bacteriological samples were taken and how the results influenced management.This audit studies the bacteriological epidemiology of acute appendicitis, which antibiotics are most frequently prescribed, the most common complications and their management. Ultimately it explores the impact of intraoperative microbiological sampling on treatment and outcome.