학술논문
Urgent care practice in anorectal abscess. Still a pending task.
Document Type
Academic Journal
Author
Arroyo-Martinez Q; Unit of General Surgery and Digestive System Clinical Management, Hospital Universitario Virgen del Rocío, Sevilla, Spain.; Service of General Surgery and Digestive System, Hospital Comarcal La Merced. Sevilla, Spain.; Gonzalez-de Pedro C; Unit of General Surgery and Digestive System Clinical Management, Hospital Universitario Virgen del Rocío, Sevilla, Spain.; Pozo EP; Unit of General Surgery and Digestive System Clinical Management, Hospital Universitario Virgen del Rocío, Sevilla, Spain.; Martinez-Nuñez S; Unit of General Surgery and Digestive System Clinical Management, Hospital Universitario Virgen del Rocío, Sevilla, Spain.; Padillo-Ruiz FJ; Unit of General Surgery and Digestive System Clinical Management, Hospital Universitario Virgen del Rocío, Sevilla, Spain.; De la Portilla-de Juan F; Unit of General Surgery and Digestive System Clinical Management, Hospital Universitario Virgen del Rocío, Sevilla, Spain.
Source
Publisher: Permanyer Country of Publication: Mexico NLM ID: 0372736 Publication Model: Print Cited Medium: Internet ISSN: 2444-054X (Electronic) Linking ISSN: 00097411 NLM ISO Abbreviation: Cir Cir Subsets: MEDLINE
Subject
Language
English
Abstract
Aim: The aim of the study was to evaluate urgent care practice with regard to anorectal abscesses (AA) in a tertiary-level referral hospital.
Materials and Methods: this was retrospective and unicentric study. Patients who underwent surgery for AA between 2016 and 2017 were included in the study. Demographic variables were analyzed as well as the treatment performed, the need for hospitalization, use of antibiotics, and referral to the coloproctology outpatient department (COD). The recurrence risk factors were also evaluated.
Results: A total of 220 evaluations under anesthesia were performed, corresponding to 190 patients, 129 males (mean age 46 ± 14.9 years). The most frequent treatment in the emergency department (ED) was simple drainage (75.8%). Antibiotic therapy was prescribed in 62.9% of the cases. A total of 41.1% of the patients were referred to a specialized COD. The only risk factor associated with recurrence was the presence of an associated anal fistula.
Conclusions: Anorectal abscesses are very frequent in the ED. There is great clinical variability regarding the taking of cultures, prescription of antibiotics, and referral criteria to a specialized coloproctology outpatient department, without clear impact of any of them on the recurrence of the abscess.
(Copyright: © 2020 Permanyer.)
Materials and Methods: this was retrospective and unicentric study. Patients who underwent surgery for AA between 2016 and 2017 were included in the study. Demographic variables were analyzed as well as the treatment performed, the need for hospitalization, use of antibiotics, and referral to the coloproctology outpatient department (COD). The recurrence risk factors were also evaluated.
Results: A total of 220 evaluations under anesthesia were performed, corresponding to 190 patients, 129 males (mean age 46 ± 14.9 years). The most frequent treatment in the emergency department (ED) was simple drainage (75.8%). Antibiotic therapy was prescribed in 62.9% of the cases. A total of 41.1% of the patients were referred to a specialized COD. The only risk factor associated with recurrence was the presence of an associated anal fistula.
Conclusions: Anorectal abscesses are very frequent in the ED. There is great clinical variability regarding the taking of cultures, prescription of antibiotics, and referral criteria to a specialized coloproctology outpatient department, without clear impact of any of them on the recurrence of the abscess.
(Copyright: © 2020 Permanyer.)