Improving treatment plan and mental health in children with abdominal infection for broad-spectrum bacterial infections

World J Psychiatry. 2024 Sep 19;14(9):1319-1325. doi: 10.5498/wjp.v14.i9.1319.

Abstract

Background: Pediatric abdominal infection is a common but serious disease that requires timely and effective treatment. In surgical treatment, accurate diagnosis and rational application of antibiotics are the keys to improving treatment effects.

Aim: To investigate the effect of broad-spectrum bacterial detection on postoperative antibiotic therapy.

Methods: A total of 100 children with abdominal infection who received surgical treatment in our hospital from September 2020 to July 2021 were grouped. The observation group collected blood samples upon admission and sent them for broad-spectrum bacterial infection nucleic acid testing, and collected pus or exudate during the operation for bacterial culture and drug sensitivity testing; the control group only sent bacterial culture and drug sensitivity testing during the operation.

Results: White blood cell count, C-reactive protein, procalcitonin, 3 days after surgery, showed better postoperative index than the control group (P < 0.05). The hospital stay in the observation group was significantly shorter than that in the control group. The hospitalization cost in the observation group was significantly lower than that in the control group, and the difference between the two groups was statistically significant (P < 0.05).

Conclusion: Early detection of broad-spectrum bacterial infection nucleic acids in pediatric abdominal infections can help identify pathogens sooner and guide the appropriate use of antibiotics, improving treatment outcomes and reducing medical costs to some extent.

Keywords: Bacterial culture; Cost; Drug sensitivity testing; Mental health; Nucleic acid detection of broad-spectrum bacterial infection; Pediatric abdominal infection; Treatment effect.