Comparison of Ultrasound-Guided Drainage with Other Available Treatment Modalities for, Treatment of Tubo-Ovarian Abscess

Aydın, Edıp; Peker, Nurullah; Bademkıran, Muhammed Hanifi; İçen, Mehmet Sait; Gül, Talip

doi:10.5336/jcog.2017-59367

Cited by 1 publication

(4 citation statements)

References 12 publications

(34 reference statements)

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“…The 47% concomitant gynecological malignancy risk in postmenopausal women with TOA may lead the clinicians to decide favors surgical therapy. 34 Antibiotic therapy failure was defined as no clinical improvement after 48-72 h of medical therapy in most of the studies [5][6][7][8][9][10][11]13,14,[16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32] included in the meta-analysis. The findings of the previous reports and this meta-analysis suggest that surgical intervention should not be delayed more than 48 h in women with identified risk factors.…”

Section: Discussionmentioning

confidence: 99%

“…Antibiotic therapy failure was defined as no clinical improvement after 48–72 h of medical therapy in most of the studies 5–11,13,14,16–32 included in the meta‐analysis. The findings of the previous reports and this meta‐analysis suggest that surgical intervention should not be delayed more than 48 h in women with identified risk factors.…”

Section: Discussionmentioning

confidence: 99%

“…The antibiotic therapy failure was defined as the failure to respond to medical therapy after 24–96 h of antibiotic therapy alone and/or the existence of an acute clinical deterioration due to sepsis or abscess rupture by these authors except two. Kuo et al 12 and Aydin et al 13 did not report the duration of antibiotic treatment before the surgical therapy. The fever was defined as a body temperature of 38°C or more by the authors of studies included in the meta‐analysis except one.…”

Section: Methodsmentioning

confidence: 99%

“…Study characteristics presented in Table 1 were extracted by four authors independently 4–32 . The fifth author reviewed the extracted data.…”

Section: Methodsmentioning

confidence: 99%

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Risk factors for antibiotic therapy failure in women with tubo‐ovarian abscess: A systematic review and meta‐analysis

Kinay,

Akay,

Aksoy

et al. 2024

J of Obstet and Gynaecol

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AimMedical therapy with antibiotics only and surgical drainage are the treatment options of tubo‐ovarian abscess (TOA). It is not yet known exactly which cases need surgical treatment. The aim of this systematic review and meta‐analysis was to evaluate the risk factors leading antibiotic therapy failure in women with TOA.MethodsWe searched the following databases from inception to June 1, 2022: PubMed, Ovid MEDLINE, The Cochrane Library, and Scopus. We also searched reference lists of eligible articles and related review articles. The observational cohort, cross‐sectional, and case–control studies were included in the meta‐analysis. At least four review authors independently selected eligible articles, assessed risk of bias, and extracted data. The random effect model was used in the meta‐analysis.ResultsA total of 29 studies, including 2890 women, were included in the study. The age, abscess size, history of intrauterine device use, postmenopausal status, history of diabetes mellitus, fever, white blood cell count, erythrocyte sedimentation rate, C‐reactive protein level, and history of pelvic inflammatory disease were found as significant risk factors for antibiotic therapy failure in women with TOA.ConclusionsThe findings of this study clarified the risk factors for antibiotic therapy failure in women with TOA.

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