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Metronidazole in prevention and treatment of bacteroides infections after appendicectomy.
Authors:A T Willis  I R Ferguson  P H Jones  K D Phillips  P V Tearle  R B Berry  R V Fiddian  D F Graham  D H Harland  D B Innes  W M Mee  R L Rothwell-Jackson  I Sutch  C Kilbey  D Edwards
Abstract:The frequency of non-clostridial anaerobic infection was studied in 95 patients who had undergone acute appendicectomy: 49 received prophylactic metronidazole and 46 received placebo. Anaerobic infection did not develop in any of the metronidazole-treated patients, but infections did develop in nine (19%) of the 46 controls. Metronidazole is conveniently administered by suppository to patients who cannot take oral drugs. Five patients with intra-abdominal infections caused by non-clostridial anaerobes were successfully treated with metronidazole.
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