Percutaneous fine-needle aspiration for pyogenic liver abscess (3-6 cm): a two-center retrospective study

BMC Infectious Diseases
Shuangjun HeYi Chen

Abstract

The role of ultrasonography-guided percutaneous fine-needle aspiration (PNA) for pyogenic liver abscess (PLA) remains without consensus, especially in abscesses 3 to 6 cm in diameter. The objective of this study was to evaluate the comparative effectiveness and safety of PNA combined with antibiotics. This was a retrospective study of patients with PLA that were from 3 to 6 cm in diameter who treated at two medical centers in Shanghai, China, from January 2014 to March 2019. Patients were divided into groups treated by PNA plus antibiotics or antibiotics alone. Patients demographics and clinical data related diagnosis, antibiotic treatment, and patient outcomes were analyzed. Out of a total of 94 PLA patients, 42 (44.7%) patients received PNA combined with antibiotics, and 52 (55.3%) received antibiotics alone. There were no complications related to PNA. In the PNA group, 13 (31.7%) patients with negative blood culture and 8 (19.5%) patients without blood culture were microbiologically confirmed via aspiration. The time for temperature normalization (P < 0.001) and the reduction rate of C-reactive protein within the first week (P = 0.031) were significantly lower in the PNA group. In the multivariate analysis, treatment with PN...Continue Reading

References

Jan 1, 1973·American Journal of Surgery·W A AltemeierC D Shook
Apr 1, 1993·The Journal of Clinical Investigation·D M VigushinP N Hawkins
Dec 31, 1997·Clinical Radiology·S Ch YuC Metreweli
Apr 2, 2004·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Simon C H YuConstantine Metreweli
May 11, 2005·Alimentary Pharmacology & Therapeutics·P JepsenH T Sørensen
May 17, 2006·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·C-B HsiehJ-C Yu
Nov 23, 2006·AJR. American Journal of Roentgenology·Antonio GiorgioGiovanna Ferraioli
Apr 9, 2008·World Journal of Gastroenterology : WJG·Rustam KhanShaalan Beg
Oct 2, 2008·Emerging Infectious Diseases·Feng-Chiao TsaiJin-Town Wang
Nov 6, 2009·The American Journal of Gastroenterology·Liisa MeddingsGilaad G Kaplan
Oct 13, 2010·World Journal of Gastroenterology : WJG·Hai-Nv GaoWei-Hang Ma
Jan 6, 2011·World Journal of Gastrointestinal Surgery·Ajaz A MalikKhurshid Alam Wani
Aug 10, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Shiuan-Chih ChenMeng-Chih Lee
Sep 13, 2013·European Journal of Gastroenterology & Hepatology·Siu-Tong Law, Kin Kong Li
Oct 2, 2013·The Indian Journal of Surgery·Dhaval O MangukiyaSaurabh T Gupta
Sep 12, 2014·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Yu-Long CaiNan-Sheng Cheng
Oct 2, 2014·The New England Journal of Medicine·Carl Nathan, Otto Cars
Apr 7, 2015·Gastrointestinal Endoscopy·Ryosuke TonozukaFuminori Moriyasu
Apr 8, 2015·The Australasian Medical Journal·Gurjeet DulkuJonathan Tibballs
Jun 3, 2015·American Journal of Surgery·Saleem AhmedVishal G Shelat
May 4, 2016·JAMA : the Journal of the American Medical Association·Katherine E Fleming-DutraLauri A Hicks
Jul 13, 2016·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·M LuoY-L Li
Oct 21, 2016·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Otto Mauro Dos Santos-RosaMarcelo Augusto Fontenelle Ribeiro-Junior
Nov 9, 2016·Pediatric Surgery International·Subhasis Roy ChoudhuryRajiv Chadha
May 16, 2017·AJR. American Journal of Roentgenology·Steffen J HaiderEric K Hoffer
Jan 1, 2014·Frontline Gastroenterology·Gwilym James WebbDavid Angelo Gorard
May 10, 2018·Medicine·Cristina SerrainoLuigi Maria Fenoglio
Sep 19, 2018·Mayo Clinic Proceedings. Innovations, Quality & Outcomes·Ayush SharmaNathan Cummins
May 17, 2019·Clinical Microbiology Reviews·Thomas A Russo, Candace M Marr

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