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The abscesses were drained and pus was sent for culture; any fistula, if found, was laid open. A second examination under anaesthesia was performed within 7\u201310 days if no fistula had been found. The pus from 114 patients grew bowel-derived organisms; 62 (54\u00b74 per cent) fistulas were found. The pus from 34 patients grew skin-derived organisms but no fistula was demonstrated in this group. It is suggested that a second examination need only be performed if culture of the pus grows bowel-derived organisms; anorectal abscesses which grow skin-derived organisms are not associated with a fistula.<\/jats:p>","DOI":"10.1002\/bjs.1800690715","type":"journal-article","created":{"date-parts":[[2007,3,2]],"date-time":"2007-03-02T21:50:40Z","timestamp":1172872240000},"page":"401-403","source":"Crossref","is-referenced-by-count":74,"title":["Anorectal sepsis: Microbiology in relation to fistula-in-ano"],"prefix":"10.1093","volume":"69","author":[{"given":"R H","family":"Grace","sequence":"first","affiliation":[{"name":"The Royal and New Cross Hospitals , Wolverhampton"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I A","family":"Harper","sequence":"additional","affiliation":[{"name":"The Royal and New Cross Hospitals , Wolverhampton"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R G","family":"Thompson","sequence":"additional","affiliation":[{"name":"The Royal and New Cross Hospitals , Wolverhampton"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1982,7,1]]},"reference":[{"key":"2024092714254984300_bib1","first-page":"1092","volume-title":"A Textbook of Surgery","author":"Nesselrod","year":"1949","edition":"5th"},{"key":"2024092714254984300_bib2","first-page":"501","article-title":"The internal anal sphincter and the anorectal abscess","volume":"103","author":"Eisenhammer","year":"1956","journal-title":"Surg. 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