Immediate percutaneous drainage compared with surgical drainage of renal abscess

To compare immediate percutaneous drainage of renal abscess via ultrasonographic guidance to surgical drainage. This was a retrospective cross-sectional study of 27 patients (mean age of 59.37 +/- 12.25 years) with renal abscesses. Immediate percutaneous catheter drainage was performed in patients w...

Full description

Saved in:
Bibliographic Details
Published in:International urology and nephrology 2007-03, Vol.39 (1), p.51-55
Main Authors: Hung, Ching-Hui, Liou, Jyh-Dar, Yan, Meng-Yi, Chang, Chia-Chu
Format: Article
Language:English
Subjects:
Abscess - therapy
Abscesses
Adult
Aged
Aged, 80 and over
Antibiotics
C-reactive protein
Catheterization
Catheters
Cross-Sectional Studies
Drainage - methods
Escherichia coli
Escherichia coli Infections
Female
Hospitalization
Humans
Kidney Diseases - microbiology
Kidney Diseases - therapy
Kidneys
Klebsiella Infections
Klebsiella pneumoniae
Male
Middle Aged
Penicillin
Retrospective Studies
Skin - pathology
Surgical drains
Treatment Outcome
Wound drainage
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:To compare immediate percutaneous drainage of renal abscess via ultrasonographic guidance to surgical drainage. This was a retrospective cross-sectional study of 27 patients (mean age of 59.37 +/- 12.25 years) with renal abscesses. Immediate percutaneous catheter drainage was performed in patients with pus-containing cavities greater than 3 cm who consented in the emergency section (n = 12). Other patients underwent surgical drainage (n = 11). Both groups were also treated with empirical antibiotic therapy. Four patients were treated exclusively with antibiotics and were excluded from the analysis. Abscess size on computer tomography (CT) was similar between the percutaneous catheter drainage (PCD) patients and open surgical drainage patients (7.47 +/- 1.75 cm vs. 8.67 +/- 1.87 cm; P = 0.13). There was no significant difference in mean duration of hospitalization (PCD, 19.5 +/- 10.5 days; surgical drainage, 14.55 +/- 4.52 days. P = 0.15). Larger abscess size and higher C-reactive protein levels were important prognostic factors in both groups. Microbiological analysis revealed Escherichia coli and Klebsiella pneumoniae in most abscesses. Patients treated with percutaneous drainage for renal abscess had outcomes comparable to those treated with surgical drainage.
ISSN:0301-1623
1573-2584
DOI:10.1007/s11255-006-9033-5