Disease- and medication-specific differences of the microbial spectrum in perianal fistulizing Crohn’s Disease — relevant aspects for antibiotic therapy
Please always quote using this URN: urn:nbn:de:bvb:20-opus-290281
- Perianal fistulizing Crohn’s Disease (CD) with abscess formation represents an aggressive phenotype in Inflammatory Bowel Disease (IBD) with increased morbidity. Treatment is multidisciplinary and includes antibiotics, but knowledge about the microbial spectrum is rare often resulting in inadequate antimicrobial therapy. In this single center retrospective study, all patients who were operated due to perianal abscess formation were retrospectively analyzed and the microbial spectrum evaluated. Patients were divided into a CD and non-CD groupPerianal fistulizing Crohn’s Disease (CD) with abscess formation represents an aggressive phenotype in Inflammatory Bowel Disease (IBD) with increased morbidity. Treatment is multidisciplinary and includes antibiotics, but knowledge about the microbial spectrum is rare often resulting in inadequate antimicrobial therapy. In this single center retrospective study, all patients who were operated due to perianal abscess formation were retrospectively analyzed and the microbial spectrum evaluated. Patients were divided into a CD and non-CD group with further subgroup analysis. 138 patients were finally included in the analysis with 62 patients suffering from CD. Relevant differences were detected for the microbial spectrum with anaerobic bacteria being significantly more often isolated from non-CD patients. In a subgroup-analysis of CD patients only, medical therapy had a relevant effect on the microbial spectrum since Streptococcus groups and Enterobacterales were significantly more often isolated in patients treated with steroids compared to those being treated by antibodies. In conclusion, the microbial spectrum of patients suffering from CD varies significantly from non-CD patients and immunosuppressive medication has a relevant effect on isolated pathogens. Based on that, adaption of antibiotic treatment might be discussed in the future.…
Author: | Matthias Kelm, Simon Kusan, Güzin Surat, Friedrich Anger, Joachim Reibetanz, Christoph-Thomas Germer, Nicolas Schlegel, Sven Flemming |
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URN: | urn:nbn:de:bvb:20-opus-290281 |
Document Type: | Journal article |
Faculties: | Medizinische Fakultät / Klinik und Poliklinik für Allgemein-, Viszeral-, Gefäß- und Kinderchirurgie (Chirurgische Klinik I) |
Language: | English |
Parent Title (English): | Biomedicines |
ISSN: | 2227-9059 |
Year of Completion: | 2022 |
Volume: | 10 |
Issue: | 11 |
Article Number: | 2682 |
Source: | Biomedicines (2022) 10:11, 2682. https://doi.org/10.3390/biomedicines10112682 |
DOI: | https://doi.org/10.3390/biomedicines10112682 |
Sonstige beteiligte Institutionen: | Krankenhaushygiene und Antimicrobial Stewardship (Universitätsklinikum) |
Dewey Decimal Classification: | 6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit |
Tag: | anorectal abscess; fistulizing Crohn’s Disease; microbial spectrum; perianal fistulas |
Release Date: | 2023/10/05 |
Date of first Publication: | 2022/10/23 |
Licence (German): | CC BY: Creative-Commons-Lizenz: Namensnennung 4.0 International |