Perianal Abscess in Children: Are Resistant Microorganisms a Real Problem?

Objective: Perianal abscess is a common purulent disease in daily pediatric practice caused by infection of perianal tissues and cavities. There is a strong male dominance in affected children less than two years old. In our study, we aimed to investigate the clinical and laboratory studies of cases diagnosed with perianal abscess in childhood. Material and Methods: Medical data followed by the diagnosis of perianal abscess by Kayseri Training and Research Hospital, Pediatric Infectious Diseases between October 2016, and June 2018, were retrospectively analyzed. Results: A total of 15 patients were followed up with a diagnosis of perianal abscess. Fourteen (93.3%) of the patients were male. Their average age was 19.10 +/- 8.86 months. Seven (46.6%) of the patients were less than six months old and 11 (73.3%) were younger than one year old. Fever was associated with only one (6.7%) correspondence complaints, 13 (86.6%) patients were brought close to perianal row swelling. Surgical drainage was applied to all 12 (80%) patients who were hospitalized and followed up. There was growth in the abscess culture in 10 (83.3%) of the patients. In 60% of the patients with culture growth, the agents were resistant microorganisms. In 50% of our hospitalized cases, treatment change was required according to the culture antibiogram results, and the combined use of meropenem and amikacin was preferred in these patients. Conclusion: In conclusion, although perianal abscesses are common in children, data on the management and treatment of the disease are limited. Our study highlights the benefit of routine abscess culture in the treatment of perianal abscesses.