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Clinical Characteristics Associated with Antibiotic Treatment Failure for Tuboovarian Abscesses
Joint Authors
Farid, Huma
Lau, Trevin C.
Karmon, Anatte E.
Styer, Aaron K.
Source
Infectious Diseases in Obstetrics and Gynecology
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-02-17
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Objective.
Although parenteral antibiotic treatment is a standard approach for tuboovarian abscesses, a significant proportion of patients fail therapy and require interventional radiology (IR) guided drainage.
The objective of this study is to assess if specific clinical factors are associated with antibiotic treatment failure.
Study Design.
Retrospective medical record review of patients hospitalized for tuboovarian abscesses from 2001 through 2012 was performed.
Clinical characteristics were compared for patients who underwent successful parenteral antibiotic treatment, failed antibiotic treatment necessitating subsequent IR drainage, initial drainage with concurrent antibiotics, and surgery.
Results.
One hundred thirteen patients admitted for inpatient treatment were identified.
Sixty-one (54%) patients were treated with antibiotics alone.
Within this group, 24.6% failed antibiotic treatment and required drainage.
Mean white blood cell count (K/μL) (18.7±5.94 versus 13.9±5.12) (p=0.003), mean maximum diameter of tuboovarian abscess (cm) (6.8±2.9 versus 5.2±2.0) (p=0.03), and length of stay (days) (9.47±7.43 versus 4.59±2.4) (p=0.002) were significantly greater for patients who failed antibiotic treatment.
Conclusions.
Admission white blood cell count greater than 16 K/μL and abscess size greater than 5.18 cm are associated with antibiotic treatment failure.
These factors may provide guidance for initial selection of IR guided drainage.
American Psychological Association (APA)
Farid, Huma& Lau, Trevin C.& Karmon, Anatte E.& Styer, Aaron K.. 2016. Clinical Characteristics Associated with Antibiotic Treatment Failure for Tuboovarian Abscesses. Infectious Diseases in Obstetrics and Gynecology،Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1104871
Modern Language Association (MLA)
Farid, Huma…[et al.]. Clinical Characteristics Associated with Antibiotic Treatment Failure for Tuboovarian Abscesses. Infectious Diseases in Obstetrics and Gynecology No. 2016 (2016), pp.1-7.
https://search.emarefa.net/detail/BIM-1104871
American Medical Association (AMA)
Farid, Huma& Lau, Trevin C.& Karmon, Anatte E.& Styer, Aaron K.. Clinical Characteristics Associated with Antibiotic Treatment Failure for Tuboovarian Abscesses. Infectious Diseases in Obstetrics and Gynecology. 2016. Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1104871
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1104871