کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4279817 1611545 2011 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Impact of evaluating antibiotic concentrations in abdominal abscesses percutaneously drained
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
پیش نمایش صفحه اول مقاله
Impact of evaluating antibiotic concentrations in abdominal abscesses percutaneously drained
چکیده انگلیسی

BackgroundAppropriate antibiotic therapy and prompt drainage are essential for optimal results with abdominal abscesses.MethodsIn this prospective study, 47 abdominal abscesses from 42 patients over 2 years who had percutaneous drainage were evaluated. Antibiotic concentrations were evaluated from the abscess fluid and correlated with clinical and microbiologic cure.ResultsOnly 23% of patients had appropriate antibiotic selection with optimal concentrations for the bacteria recovered. Piperacillin/tazobactam, cefepime, and metronidazole provided adequate concentrations in all except the largest abscesses, whereas fluconazole required higher doses in all abscesses. Vancomycin and ciprofloxacin levels were inadequate in most abscesses. With gram-negative aerobes, the use of appropriate antibiotics resulted in a relatively higher incidence of presumed eradication (100% [4 of 4] vs 75% [9 of 12], P = .26). With ≥3 organisms identified, clinical failure was significant (58% vs 13%, P = .01).ConclusionsFor optimal treatment, abdominal abscesses require prompt drainage and properly selected antibiotics at adequate doses. Essential information can be obtained from abscess cultures and their antibiotic concentrations.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 201, Issue 3, March 2011, Pages 348–352
نویسندگان
, , , , , , , , , , , ,