Effectiveness of Surgery and Percutaneous Catheter Drainage (PCD) with Antibiotics for Pyogenic Liver Abscess Patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/602746
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Title:
Effectiveness of Surgery and Percutaneous Catheter Drainage (PCD) with Antibiotics for Pyogenic Liver Abscess Patients
Author(s):
Wu, Meng-Shan; Su, Shu-Fen; Su, Shu-Fen
Lead Author STTI Affiliation:
Non-member
Author Details:
Meng-Shan Wu, RN, et4075@gmail.com; Shu-Fen Su, RN
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.
Keywords:
pyogenic liver abscess; surgery; percutaneous catheter drainage
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15EB2.41
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.titleEffectiveness of Surgery and Percutaneous Catheter Drainage (PCD) with Antibiotics for Pyogenic Liver Abscess Patientsen
dc.contributor.authorWu, Meng-Shanen
dc.contributor.authorSu, Shu-Fenen
dc.contributor.authorSu, Shu-Fenen
dc.contributor.departmentNon-memberen
dc.author.detailsMeng-Shan Wu, RN, et4075@gmail.com; Shu-Fen Su, RNen
dc.identifier.urihttp://hdl.handle.net/10755/602746en
dc.description.abstractSession 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.en
dc.subjectpyogenic liver abscessen
dc.subjectsurgeryen
dc.subjectpercutaneous catheter drainageen
dc.date.available2016-03-21T16:35:52Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:35:52Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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