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according to a recent study in taiwan, escherichia coli was the major pathogen responsible for perianal abscess in patients without a history of diabetes mellitus, whereas klebsiella pneumoniae was found to be responsible in patients with diabetes. An anal abscess is an infected cavity filled with pus near the anus or rectum. An anal fistula (also called fistula-in-ano) is a small tunnel that tracks from an opening inside the anal canal to an outside opening in the skin near the anus. The evaluation of bacteriology in perianal abscesses of 81 adult patients. Mehmet ulug, md i ercan gedik, md ii sadullah girgin, md ii mustafa kemal celen, md iii celal ayaz, md iii. Perianal abscess in children is found almost exclusively in boys and is infrequently associated with systemic signs of sepsis. 20 antibiotics are not needed after operation, unless marked cellulitis, immunosuppression, valvular heart disease, signs of systemic infection, or dm exist. Found that following incision and drainage of the abscess, an antibiotic treatment regimen with penicillin is equal to a regimen with broad spectrum antibiotics. An abscess is a collection of pus that has built up within the tissue of the body. Signs and symptoms of abscesses include redness, pain, warmth, and swelling. Carbuncles and boils are types of abscess that often involve hair follicles, with carbuncles being larger. An anal abscess is an infected cavity filled with pus found near the anus or rectum. Ninety percent of abscesses are the result of an acute infection in the internal glands of the anus. Occasionally, bacteria, fecal material or foreign matter can clog an anal gland and tunnel into the tissue around the anus or rectum, where it may then collect in a cavity called an abscess. An anal abscess is an infection that results in a collection of pus in the deeper layers of the skin. Usually people will experience a lot of pain and redness at the site of the abscess. Step b is infection with bacteria called group b streptococcus. Many healthy adults carry these bacteria in their bodies, generally in the vagina, bowel, rectum, bladder or throat.