Is Pseudomonas Infection Associated with Worse Outcomes in Pediatric Perforated Appendicitis?

Retrospective study of 255 pediatric perforated appendicitis cases found Pseudomonas in 22% of intraoperative cultures but no increased risk of surgical site infections compared to non-Pseudomonas cases. Despite longer antibiotic courses and hospital stays, similar complication rates suggest empiric Pseudomonas coverage may be unnecessary in this population.