Image-guided drainage versus antibiotic-only treatment of pelvic abscesses

Short-term and long-term outcomes

Justin To, Diana Aldape, Andrei Frost, Gary L. Goldberg, Mark D. Levie, Scott Chudnoff

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Objective: To determine the efficacy of image-guided drainage versus antibiotic-only treatment of pelvic abscesses.

Design: Retrospective cohort analysis.

Setting: An academic, inner-city medical center.

Patient(s): Women ages 11-49, admitted between 1998 and 2008 with ICD9 code 614.x (inflammatory diseases of ovary, fallopian tube, pelvic cellular tissue, and peritoneum).

Intervention(s): Medical records search, chart review, and phone survey.

Main Outcome Measure(s): Surgical intervention.

Result(s): We identified 6,151 initial patients, of whom 240 patients met inclusion criteria. Of the included patients, 199 women received antibiotic-only treatment, and 41 received additional image-guided drainage. There was no statistically significant difference between the two groups in terms of age, body mass index, parity, incidence of diabetes, obesity, endometriosis, or history of sexually transmitted infection excluding human immunodeficiency virus (HIV). Abscesses in the drainage cohort were noted to be larger in dimension (5.9 cm vs. 8.5 cm); 16.1% of patients who received antibiotics alone required surgical intervention versus only 2.4% of the drainage cohort. Patients who received drainage had longer hospital stays, but the time from treatment to discharge was similar in both groups (7.4 days vs. 6.7 days). We successfully contacted 150 patients, and the differences in long-term pregnancy outcomes, pain, or infertility were not statistically significant.

Conclusion(s): Patients who received antibiotics alone were more likely to require further surgical intervention when compared with patients who additionally received image-guided drainage. There were no observable long-term differences.

Original languageEnglish (US)
Pages (from-to)1155-1159
Number of pages5
JournalFertility and Sterility
Volume102
Issue number4
DOIs
StatePublished - Oct 1 2014

Fingerprint

Abscess
Drainage
Anti-Bacterial Agents
Therapeutics
Fallopian Tube Diseases
Peritoneum
Endometriosis
Pregnancy Outcome
Sexually Transmitted Diseases
Parity
Infertility
Medical Records
Ovary
Length of Stay
Body Mass Index
Cohort Studies
Obesity
Outcome Assessment (Health Care)
HIV
Pain

Keywords

  • Antibiotics
  • drainage
  • long-term outcomes
  • pelvic abscess

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Reproductive Medicine
  • Medicine(all)

Cite this

Image-guided drainage versus antibiotic-only treatment of pelvic abscesses : Short-term and long-term outcomes. / To, Justin; Aldape, Diana; Frost, Andrei; Goldberg, Gary L.; Levie, Mark D.; Chudnoff, Scott.

In: Fertility and Sterility, Vol. 102, No. 4, 01.10.2014, p. 1155-1159.

Research output: Contribution to journalArticle

To, Justin ; Aldape, Diana ; Frost, Andrei ; Goldberg, Gary L. ; Levie, Mark D. ; Chudnoff, Scott. / Image-guided drainage versus antibiotic-only treatment of pelvic abscesses : Short-term and long-term outcomes. In: Fertility and Sterility. 2014 ; Vol. 102, No. 4. pp. 1155-1159.
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