Abstract
Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015:
Background: Pyogenic liver abscess is a life-threatening disease with high morbidity and mortality rates. In clinical, intra-venous antibiotics with percutaneous catheter drainage has been widely used to take place of surgery. However, which one has better effects is still lack of study.
Objective: This study compared the effectiveness of surgery and percutaneous catheter drainage (PCD) with antibiotics for pyogenic liver abscess patients.
Method: A systemic review of related articles, from 2008 to 2014, which focused on surgery or treatment for pyogenic liver abscess. The databases of Cochrane library, PubMed, CINAHL, Science Direct, and OVID were used. In total, 40 studied were found, and 5 of them met the inclusion criteria were carefully assessed. R program was applied to perform meta-analysis of 379 participants (335 received PCD and 44 received surgery).
Results: Percutaneous treatment includes PCD and needle aspiration, and PCD is more effective than needle aspiration which only has good effects on simple small abscess. There was significant difference in hospital stays, duration of antibiotics uses, and symptoms relief between these two groups. PCD has lower morbidity and costs. Surgery is suitable for patients who failed in PCD.
Conclusions: PCD and surgery are both effective for pyogenic liver abscess patients. Past history, infectious source, pathogen and abscess distribution play importance roles in therapeutic plans. Surgery only suits for patients with large >10cm abscesses, or failed in PCD. As primary caregiver, nurse practitioners should carefully assess patients' symptoms, laboratory results, and images in finding out patients' treatment problem and care needs.
Sigma Membership
Non-member
Lead Author Affiliation
Taichung Tzu Chi Hospital, Taichung, Taiwan||Hungkuang University, Taichung, Taiwan
Type
Poster
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
Pyogenic Liver Abscess, Surgery, Percutaneous Catheter Drainage
Recommended Citation
Wu, Meng-Shan and Su, Shu-Fen, "Effectiveness of surgery and percutaneous catheter drainage (PCD) with antibiotics for pyogenic liver abscess patients" (2016). Convention. 66.
https://www.sigmarepository.org/convention/2015/posters_2015/66
Conference Name
43rd Biennial Convention
Conference Host
Sigma Theta Tau International
Conference Location
Las Vegas, Nevada, USA
Conference Year
2015
Rights Holder
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Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Effectiveness of surgery and percutaneous catheter drainage (PCD) with antibiotics for pyogenic liver abscess patients
Las Vegas, Nevada, USA
Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015:
Background: Pyogenic liver abscess is a life-threatening disease with high morbidity and mortality rates. In clinical, intra-venous antibiotics with percutaneous catheter drainage has been widely used to take place of surgery. However, which one has better effects is still lack of study.
Objective: This study compared the effectiveness of surgery and percutaneous catheter drainage (PCD) with antibiotics for pyogenic liver abscess patients.
Method: A systemic review of related articles, from 2008 to 2014, which focused on surgery or treatment for pyogenic liver abscess. The databases of Cochrane library, PubMed, CINAHL, Science Direct, and OVID were used. In total, 40 studied were found, and 5 of them met the inclusion criteria were carefully assessed. R program was applied to perform meta-analysis of 379 participants (335 received PCD and 44 received surgery).
Results: Percutaneous treatment includes PCD and needle aspiration, and PCD is more effective than needle aspiration which only has good effects on simple small abscess. There was significant difference in hospital stays, duration of antibiotics uses, and symptoms relief between these two groups. PCD has lower morbidity and costs. Surgery is suitable for patients who failed in PCD.
Conclusions: PCD and surgery are both effective for pyogenic liver abscess patients. Past history, infectious source, pathogen and abscess distribution play importance roles in therapeutic plans. Surgery only suits for patients with large >10cm abscesses, or failed in PCD. As primary caregiver, nurse practitioners should carefully assess patients' symptoms, laboratory results, and images in finding out patients' treatment problem and care needs.
Description
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`