Therapeutic impact of CT-guided percutaneous catheter drainage in treatment of deep tissue abscesses
AUTOR(ES)
Asai, Nobuhiro, Ohkuni, Yoshihiro, Yamazaki, Ikuo, Kaneko, Norihiro, Aoshima, Masahiro, Kawamura, Yasutaka
FONTE
Braz J Infect Dis
DATA DE PUBLICAÇÃO
2013-08
RESUMO
Combination therapy of CT-guided percutaneous drainage and antibiotics is the first-line treatment for abscesses. Its effectiveness has been demonstrated. However, the therapeutic impact of this procedure for infection treatment has never been reported. We retrospectively analyzed all 47 patients who received CT-guided percutaneous drainage for infection treatment. Patients' characteristics, pathogens isolated, antibiotics administered, technical and clinical outcomes, complications related to this procedure and therapeutic impacts were investigated. Patients were 26 males and 21 females. The mean age was 63.5 years (±18.7). The diseases targeted were 19 retroperitoneal abscesses, 18 intraabdominal abscesses, three pelvic abscesses, and seven others. As for technical outcomes, all of the 54 procedures (100%) were successful. As for clinical outcomes, 44 (93.6%) were cured and three patients (6.4%) died. No complications related to this procedure were found in this study. A total of 42 patients (88%) had a change in the management of their infection as a result of CT-guided percutaneous drainage, such as selection and discontinuation of antibiotics. In conclusion, CT-guided percutaneous drainage is a safe and favorable procedure in the treatment of deep tissue abscesses. Therapeutic impact of these procedures helped physicians make a rational decision for antibiotics selection.
Documentos Relacionados
- Percutaneous CT-Guided Treatment of Lumbar Facet Joint Synovial Cysts
- Long-term Results after CT-Guided Percutaneous Ethanol Ablation for the Treatment of Hyperfunctioning Adrenal Disorders
- CT-guided minimally-invasive penile fracture repair
- Establishment of patient-derived tumor xenograft (PDTX) models using samples from CT-guided percutaneous biopsy
- CT-guided stereotactic biopsies using a modified frame and Gildenberg techniques.