To the Editor: The article by Cunningham et al. (N Engl J Med 296:1380–1383, 1977) reported that pelvic abscesses were 10 times more common in women from whom Neisseria gonorrhoeae was not isolated. Studies of intra-abdominal infections and abscess formation have shown that peritonitis tends to be associated with aerobic organisms, whereas intra-abdominal abscesses demonstrate a predominance of anaerobic isolates.12 Antibiotics effective against Bacteroides fragilis decrease the incidence of intra-abdominal abscess formation, whereas drugs effective against enterococci and coliform organisms have a minimal effect on the incidence of intra-abdominal abscess formation.3 Bacteroides has been shown to be absent4 or, as. No extract is available for articles shorter than 400 words.
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