Surgical, Ultrasound Guided Drainage, and Medical Management of Tuboovarian Abscesses.

ISRN infectious diseases Pub Date : 2014-01-01 Epub Date: 2014-03-04 DOI:10.1155/2014/501729

Frank A Crespo, Dervi Ganesh, Kaming Lo, Kevin Chin, Paul Norris, Nahida Chakhtoura

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引用次数: 5

Abstract

Objective: To compare surgical, ultrasound guided drainage, and medical management of tuboovarian abscesses (TOA) and determine if different characteristics in patient presentation influence treatment and outcome.

Methods: Retrospective cohort study of 158 patients admitted to Jackson Memorial Hospital between 2007 and 2012 with a TOA.

Results: Patients treated with IV antibiotics (IV) alone were hospitalized for 5.59 days (SD 2.52), IV antibiotics and US guided drainage (IV/US) were hospitalized for 9.63 days (SD 7.58), and IV antibiotics and surgery (IV/surgery) were hospitalized for 8.14 days ((SD3.9), (P < 0.001)). A total of 52 patients were readmitted with TOA; 41.8% were treated with IV; 26.9% were readmitted with IV/US; 7.1% were readmitted with IV/surgery (P < 0.022). Patients with a TOA measuring 0-8 cm were hospitalized for 5.97 days (SD 4.24), while those greater than 8 cm were hospitalized for 7.71 days ((SD 4.69), (P < 0.029)). Patients treated with a triple antibiotic regimen were hospitalized for 8.42 days (SD 5.70) versus 5.8 days (SD 3.24) when receiving an alternative regimen (P < 0.002).

Conclusions: Longer hospitalization in patients treated uniformly with either triple antibiotics, ultrasound guided drainage, or surgery represents a delay in optimal treatment. Tailoring treatment plans based on patient presentation may allow for shorter hospital stays and improved morbidity.

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输卵管腔脓肿的外科、超声引导引流及内科治疗。

目的:比较手术、超声引导引流和药物治疗对输卵管卵巢脓肿(TOA)的影响，并确定患者表现的不同特征是否会影响治疗和结果。方法:回顾性队列研究2007年至2012年在杰克逊纪念医院收治的158例TOA患者。结果:单纯静脉注射抗生素(IV)患者住院时间5.59天(SD 2.52)，静脉注射抗生素联合US引导引流(IV/US)患者住院时间9.63天(SD 7.58)，静脉注射抗生素联合手术(IV/手术)患者住院时间8.14天(SD3.9)， (P < 0.001)。共有52例患者因TOA再次入院;静脉注射占41.8%;26.9%的患者因静脉注射/US再次入院;7.1%再次接受静脉注射/手术(P < 0.022)。TOA为0 ~ 8 cm的患者住院时间为5.97 d (SD 4.24)， TOA大于8 cm的患者住院时间为7.71 d (SD 4.69)， (P < 0.029)。接受三联抗生素方案治疗的患者住院时间为8.42天(SD 5.70)，而接受替代方案治疗的患者住院时间为5.8天(SD 3.24) (P < 0.002)。结论:采用三联抗生素、超声引导引流或手术统一治疗的患者住院时间较长，代表了最佳治疗的延迟。根据病人的表现制定治疗计划可以缩短住院时间并改善发病率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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ISRN infectious diseases

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