RETROSPECTIVE STUDY ON PATIENTS WITH PERIANALABSCESS UNDERGOING SURGERY AT JSS HOSPITAL IN A 2 YEAR PERIOD

Abstract

Perianal abscess is a common surgical emergency in India, representing a spectrum of clinical infectious conditions across age groups and gender. [1][2][3] It is associated with signicant morbidity and prolonged postoperative recovery period. Etiology is multifactorial, and several organisms have been isolated from cultures, the most common being Gram negative organisms. With misuse of antibiotics, several microorganisms have now [4][5] become resistant to what were earlier the gold standard and rst line of treatment. A retrospective study on 100 patients with perianal abscess who underwent surgery in the form of Incision and Drainage at JSS Hospital, Mysuru was done. Patients were studied for clinical and microbiological data, viz. Age, gender, presenting complaints, culture and sensitivity reports, organism isolated, resistance etc. Results showed a signicant number of patients with perianal abscess had underlying comorbidities such as Type II Diabetes Mellitus and Hypertension. Majority of the organisms isolated were Gram negative bacilli, with signicant levels of resistance to cephalosporins. However, no signicant difference in resistance levels were seen in patients with and those without comorbidities. Perianal abscess is an infectious pathology of the perianal region, causing signicant morbidity. The most common organisms isolated are gram negative bacilli, with signicant levels of resistance to lower generation of antibiotics. Empirically starting higher generation antibiotics, while at the same time judicious use of antibiotics in patients who present early, may help in enhanced recovery postoperatively, and may help to reduce levels of resistance in the future.