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Surgical, Ultrasound Guided Drainage, and Medical Management of Tuboovarian Abscesses. 输卵管腔脓肿的外科、超声引导引流及内科治疗。

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

{"title":"Surgical, Ultrasound Guided Drainage, and Medical Management of Tuboovarian Abscesses.","authors":"Frank A Crespo, Dervi Ganesh, Kaming Lo, Kevin Chin, Paul Norris, Nahida Chakhtoura","doi":"10.1155/2014/501729","DOIUrl":"10.1155/2014/501729","url":null,"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.","PeriodicalId":87285,"journal":{"name":"ISRN infectious diseases","volume":"2014 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/501729","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25354141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Fertility Desires and Intentions and the Relationship to Consistent Condom Use and Provider Communication Regarding Childbearing Among HIV Clients in Uganda. 在乌干达的艾滋病毒客户中，生育欲望和意图以及与一致使用避孕套和提供者沟通有关生育的关系。

ISRN infectious diseases Pub Date : 2013-01-01 DOI: 10.5402/2013/478192

Glenn J Wagner, Rhoda Wanyenze

{"title":"Fertility Desires and Intentions and the Relationship to Consistent Condom Use and Provider Communication Regarding Childbearing Among HIV Clients in Uganda.","authors":"Glenn J Wagner, Rhoda Wanyenze","doi":"10.5402/2013/478192","DOIUrl":"https://doi.org/10.5402/2013/478192","url":null,"abstract":"Objectives: HIV prevention and reproductive health programs emphasize consistent condom use and preventing unplanned pregnancies, but do not account for the childbearing desires of many HIV clients. We examined the correlates of fertility desires and intentions, including condom use, among HIV clients in Uganda.Methods: Baseline data from a prospective cohort study of clients starting antiretroviral therapy were analyzed. All measures were self-report, except abstracted CD4 count.Results: The sample included 767 clients; 34% were men and 50% had a primary sex partner. Among those with a desire (31%) or intention (24%) for having a child in the near future, 60% had not discussed this with providers. A majority (61%) had received advise about family planning, and 27% were told by their provider that they should not bear a child because of their HIV status. In regression analysis, male gender, younger age, higher CD4, having fewer children, and having a primary partner were significantly associated with fertility desires and intentions; having been told by one's provider not to have a child was associated with intentions but not desires. Among participants with a primary partner, consistent condom use was greater among those with no fertility intentions, as was receipt of advise about family planning, while HIV disclosure to partner was greater among those with intentions. Partner HIV status was not associated with fertility desires or intentions.Conclusions: These findings highlight the need for HIV care and reproductive health programs to incorporate safer conception counseling and improve provider/patient communication regarding childbearing.","PeriodicalId":87285,"journal":{"name":"ISRN infectious diseases","volume":"2013 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4219363/pdf/nihms561933.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32800008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 39