Factors Affecting the Successful Management of Intra-Abdominal Abscesses With Antibiotics and the Need for Percutaneous Drainage
PURPOSE: METHODS: RESULTS:Sixty-seven of 114 patients (59 percent) had intra-abdominal abscesses resulting from appendicitis, diverticulitis in 30 patients (26 percent), postoperative in 13 patients (11 percent), and undetermined in 4 patients (4 percent). Three patients (3 percent; 95 percent confi...
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| Veröffentlicht in: | Diseases of the colon & rectum 2006-02, Vol.49 (2), p.183-189 |
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| container_title | Diseases of the colon & rectum |
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| creator | Kumar, Ravin R Kim, Justin T Haukoos, Jason S Macias, Luis H Dixon, Matthew R Stamos, Michael J Konyalian, Viken R |
| description | PURPOSE:
METHODS:
RESULTS:Sixty-seven of 114 patients (59 percent) had intra-abdominal abscesses resulting from appendicitis, diverticulitis in 30 patients (26 percent), postoperative in 13 patients (11 percent), and undetermined in 4 patients (4 percent). Three patients (3 percent; 95 percent confidence interval, 1-8 percent) failed conservative management and underwent urgent operation. Sixty-one (54 percent; 95 percent confidence interval, 44-63 percent) patients improved with intravenous antibiotic therapy alone. Fifty patients (44 percent; 95 percent confidence interval, 35-54 percent) underwent image-guided percutaneous drainage after 48 to 72 hours of antibiotic therapy. Patients who improved on antibiotics alone had average abscess diameter of 4 cm, whereas patients who underwent percutaneous drainage had average diameter of 6.5 cm (P < 0.0001). Maximal temperature at time of admission was 100.8°F for antibiotic group and 101.2°F for percutaneous drainage group (P = 0.0067).
CONCLUSIONS: |
| doi_str_mv | 10.1007/s10350-005-0274-7 |
| format | Article |
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METHODS:
RESULTS:Sixty-seven of 114 patients (59 percent) had intra-abdominal abscesses resulting from appendicitis, diverticulitis in 30 patients (26 percent), postoperative in 13 patients (11 percent), and undetermined in 4 patients (4 percent). Three patients (3 percent; 95 percent confidence interval, 1-8 percent) failed conservative management and underwent urgent operation. Sixty-one (54 percent; 95 percent confidence interval, 44-63 percent) patients improved with intravenous antibiotic therapy alone. Fifty patients (44 percent; 95 percent confidence interval, 35-54 percent) underwent image-guided percutaneous drainage after 48 to 72 hours of antibiotic therapy. Patients who improved on antibiotics alone had average abscess diameter of 4 cm, whereas patients who underwent percutaneous drainage had average diameter of 6.5 cm (P < 0.0001). Maximal temperature at time of admission was 100.8°F for antibiotic group and 101.2°F for percutaneous drainage group (P = 0.0067).
CONCLUSIONS:</description><identifier>ISSN: 0012-3706</identifier><identifier>EISSN: 1530-0358</identifier><identifier>DOI: 10.1007/s10350-005-0274-7</identifier><identifier>PMID: 16322960</identifier><identifier>CODEN: DICRAG</identifier><language>eng</language><publisher>Secaucus, NJ: The ASCRS</publisher><subject>Abdominal Abscess - drug therapy ; Abdominal Abscess - therapy ; Adult ; Anti-Bacterial Agents - therapeutic use ; Bacterial diseases ; Bacterial diseases of the digestive system and abdomen ; Biological and medical sciences ; Cohort Studies ; Drainage - methods ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Human bacterial diseases ; Humans ; Infectious diseases ; Male ; Medical sciences ; Middle Aged ; Radiography, Interventional ; Retrospective Studies ; Tomography, X-Ray Computed ; Treatment Outcome ; Ultrasonography, Interventional</subject><ispartof>Diseases of the colon & rectum, 2006-02, Vol.49 (2), p.183-189</ispartof><rights>The ASCRS 2006</rights><rights>2006 INIST-CNRS</rights><rights>The American Society of Colon and Rectal Surgeons 2006</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4015-7671e83925bb5b9f4633b2d0dea102d4fb093f3dc314423de6098b8e3b2ef7913</citedby><cites>FETCH-LOGICAL-c4015-7671e83925bb5b9f4633b2d0dea102d4fb093f3dc314423de6098b8e3b2ef7913</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,776,780,785,786,23909,23910,25118,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17701202$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16322960$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kumar, Ravin R</creatorcontrib><creatorcontrib>Kim, Justin T</creatorcontrib><creatorcontrib>Haukoos, Jason S</creatorcontrib><creatorcontrib>Macias, Luis H</creatorcontrib><creatorcontrib>Dixon, Matthew R</creatorcontrib><creatorcontrib>Stamos, Michael J</creatorcontrib><creatorcontrib>Konyalian, Viken R</creatorcontrib><title>Factors Affecting the Successful Management of Intra-Abdominal Abscesses With Antibiotics and the Need for Percutaneous Drainage</title><title>Diseases of the colon & rectum</title><addtitle>Dis Colon Rectum</addtitle><description>PURPOSE:
METHODS:
RESULTS:Sixty-seven of 114 patients (59 percent) had intra-abdominal abscesses resulting from appendicitis, diverticulitis in 30 patients (26 percent), postoperative in 13 patients (11 percent), and undetermined in 4 patients (4 percent). Three patients (3 percent; 95 percent confidence interval, 1-8 percent) failed conservative management and underwent urgent operation. Sixty-one (54 percent; 95 percent confidence interval, 44-63 percent) patients improved with intravenous antibiotic therapy alone. Fifty patients (44 percent; 95 percent confidence interval, 35-54 percent) underwent image-guided percutaneous drainage after 48 to 72 hours of antibiotic therapy. Patients who improved on antibiotics alone had average abscess diameter of 4 cm, whereas patients who underwent percutaneous drainage had average diameter of 6.5 cm (P < 0.0001). Maximal temperature at time of admission was 100.8°F for antibiotic group and 101.2°F for percutaneous drainage group (P = 0.0067).
CONCLUSIONS:</description><subject>Abdominal Abscess - drug therapy</subject><subject>Abdominal Abscess - therapy</subject><subject>Adult</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Bacterial diseases</subject><subject>Bacterial diseases of the digestive system and abdomen</subject><subject>Biological and medical sciences</subject><subject>Cohort Studies</subject><subject>Drainage - methods</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Radiography, Interventional</subject><subject>Retrospective Studies</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><subject>Ultrasonography, Interventional</subject><issn>0012-3706</issn><issn>1530-0358</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkV2L1TAQhoMo7nH1B3gjQdC76OSjTXt5WF1dWD9AxcuQppM9XdtmN0lZvPOnm9oDC16FGZ55M8NDyHMObziAfps4yAoYQMVAaMX0A7LjlSwdWTUPyQ6ACyY11CfkSUrXpQQB-jE54bUUoq1hR_6cW5dDTHTvPbo8zFc0H5B-W5zDlPwy0k92tlc44Zxp8PRiztGyfdeHaZjtSPddWkFM9OeQD3Q_56EbQh5conbu_2V9RuypD5F-xeiWbGcMS6Lvoh3W4KfkkbdjwmfH95T8OH___ewju_zy4eJsf8mcAl4xXWuOjWxF1XVV13pVS9mJHnq05ahe-Q5a6WXvJFdKyB5raJuuwQKh1y2Xp-T1lnsTw-2CKZtpKKuP47aPqXUtG81lAV_-B16HJZZbkxFcQc11qwvEN8jFkFJEb27iMNn423AwqxuzuTHFjVndmHXmxTF46Sbs7yeOMgrw6gjY5Ozoo53dkO45rYtPEIVTG3cXxowx_RqXO4zmgHbMh_IjgFSVZAKgVm0xztZWJf8CQrCmIw</recordid><startdate>200602</startdate><enddate>200602</enddate><creator>Kumar, Ravin R</creator><creator>Kim, Justin T</creator><creator>Haukoos, Jason S</creator><creator>Macias, Luis H</creator><creator>Dixon, Matthew R</creator><creator>Stamos, Michael J</creator><creator>Konyalian, Viken R</creator><general>The ASCRS</general><general>Springer</general><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>200602</creationdate><title>Factors Affecting the Successful Management of Intra-Abdominal Abscesses With Antibiotics and the Need for Percutaneous Drainage</title><author>Kumar, Ravin R ; Kim, Justin T ; Haukoos, Jason S ; Macias, Luis H ; Dixon, Matthew R ; Stamos, Michael J ; Konyalian, Viken R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4015-7671e83925bb5b9f4633b2d0dea102d4fb093f3dc314423de6098b8e3b2ef7913</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Abdominal Abscess - drug therapy</topic><topic>Abdominal Abscess - therapy</topic><topic>Adult</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Bacterial diseases</topic><topic>Bacterial diseases of the digestive system and abdomen</topic><topic>Biological and medical sciences</topic><topic>Cohort Studies</topic><topic>Drainage - methods</topic><topic>Female</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Radiography, Interventional</topic><topic>Retrospective Studies</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><topic>Ultrasonography, Interventional</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kumar, Ravin R</creatorcontrib><creatorcontrib>Kim, Justin T</creatorcontrib><creatorcontrib>Haukoos, Jason S</creatorcontrib><creatorcontrib>Macias, Luis H</creatorcontrib><creatorcontrib>Dixon, Matthew R</creatorcontrib><creatorcontrib>Stamos, Michael J</creatorcontrib><creatorcontrib>Konyalian, Viken R</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Diseases of the colon & rectum</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kumar, Ravin R</au><au>Kim, Justin T</au><au>Haukoos, Jason S</au><au>Macias, Luis H</au><au>Dixon, Matthew R</au><au>Stamos, Michael J</au><au>Konyalian, Viken R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors Affecting the Successful Management of Intra-Abdominal Abscesses With Antibiotics and the Need for Percutaneous Drainage</atitle><jtitle>Diseases of the colon & rectum</jtitle><addtitle>Dis Colon Rectum</addtitle><date>2006-02</date><risdate>2006</risdate><volume>49</volume><issue>2</issue><spage>183</spage><epage>189</epage><pages>183-189</pages><issn>0012-3706</issn><eissn>1530-0358</eissn><coden>DICRAG</coden><abstract>PURPOSE:
METHODS:
RESULTS:Sixty-seven of 114 patients (59 percent) had intra-abdominal abscesses resulting from appendicitis, diverticulitis in 30 patients (26 percent), postoperative in 13 patients (11 percent), and undetermined in 4 patients (4 percent). Three patients (3 percent; 95 percent confidence interval, 1-8 percent) failed conservative management and underwent urgent operation. Sixty-one (54 percent; 95 percent confidence interval, 44-63 percent) patients improved with intravenous antibiotic therapy alone. Fifty patients (44 percent; 95 percent confidence interval, 35-54 percent) underwent image-guided percutaneous drainage after 48 to 72 hours of antibiotic therapy. Patients who improved on antibiotics alone had average abscess diameter of 4 cm, whereas patients who underwent percutaneous drainage had average diameter of 6.5 cm (P < 0.0001). Maximal temperature at time of admission was 100.8°F for antibiotic group and 101.2°F for percutaneous drainage group (P = 0.0067).
CONCLUSIONS:</abstract><cop>Secaucus, NJ</cop><pub>The ASCRS</pub><pmid>16322960</pmid><doi>10.1007/s10350-005-0274-7</doi><tpages>7</tpages></addata></record> |
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| ispartof | Diseases of the colon & rectum, 2006-02, Vol.49 (2), p.183-189 |
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| subjects | Abdominal Abscess - drug therapy Abdominal Abscess - therapy Adult Anti-Bacterial Agents - therapeutic use Bacterial diseases Bacterial diseases of the digestive system and abdomen Biological and medical sciences Cohort Studies Drainage - methods Female Gastroenterology. Liver. Pancreas. Abdomen Human bacterial diseases Humans Infectious diseases Male Medical sciences Middle Aged Radiography, Interventional Retrospective Studies Tomography, X-Ray Computed Treatment Outcome Ultrasonography, Interventional |
| title | Factors Affecting the Successful Management of Intra-Abdominal Abscesses With Antibiotics and the Need for Percutaneous Drainage |
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