Postprocedure sepsis in imaging-guided percutaneous hepatic abscess drainage: how often does it occur?

AJR. American Journal of Roentgenology
John ThomasErik K Paulson

Abstract

This retrospective study was conducted to determine the incidence of sepsis at our institution after percutaneous drainage of a hepatic abscess. Thirty-three patients with a hepatic abscess treated using percutaneous aspiration and drainage from 1995 to 2000 were identified from a search of the interventional database. The patients' charts and CT images were reviewed independently by two radiologists for clinical presentation, relevant medical history, pre- and postprocedure antibiotic regimens, and clinical course after percutaneous aspiration and drainage. The preprocedure images were reviewed for the location and morphology of the abscess. The procedure details including percutaneous approach, guidance technique, catheter size, and immediate postprocedure complications were reviewed. Of the 33 patients, 14 patients underwent only needle aspiration of the abscess. In six (43%) of these 14 patients, the abscesses resolved with aspiration and appropriate antibiotic treatment alone. Eight (57%) of the patients who had aspiration of the abscess initially went on to have drainage catheters placed within a 72-hr period. Nineteen patients had drainage catheters placed from the onset. Of these, 17 patients (89%) had abscess resolutio...Continue Reading

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Citations

Feb 22, 2008·AJR. American Journal of Roentgenology·Bruce G StewartPeter R Mueller
Jun 21, 2014·Journal of Clinical Ultrasound : JCU·Enver ZeremSuad Kunosic
Apr 6, 2004·Journal of Vascular and Interventional Radiology : JVIR·Tony P SmithLaura E Niklason
Dec 17, 2010·World Journal of Radiology·Ragab Hani DonkolKhaled Moghazy
Dec 26, 2012·Pathogens and Global Health·Martín Sánchez-AguilarAntonio Gordillo-Moscoso
May 1, 2018·Canadian Journal of Gastroenterology & Hepatology·Bing LiHan Feng Yang

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