“…The duration of hospital stay was also similar in the two groups, while the overall condition of patients (APACHE II scores) was the only prognostic factor for morbidity and mortality in both PAD and OSD groups [3]. The results of other case-controlled studies 200 [4][5][6][7][8][9][10][11][12][13][14][15] vary widely, with success rates ranging from 47% to 92% since the authors assessed different guidance methods (CT or US) and abscess locations (upper abdominal fluid collections, pancreatic fluid collections, postoperative collections, etc). Lower success rates, ranging from 27% to 61%, have been historically reported in series limited to patients with CD [16][17][18].…”
PAD is a safe and effective alternative to surgery for draining deep infected fluid collections, with a higher success rate, lower complication rate and shorter hospital stay compared to surgical drainage. Meticulous technique and careful access planning seem to be the two most important factors affecting the outcome.
“…The duration of hospital stay was also similar in the two groups, while the overall condition of patients (APACHE II scores) was the only prognostic factor for morbidity and mortality in both PAD and OSD groups [3]. The results of other case-controlled studies 200 [4][5][6][7][8][9][10][11][12][13][14][15] vary widely, with success rates ranging from 47% to 92% since the authors assessed different guidance methods (CT or US) and abscess locations (upper abdominal fluid collections, pancreatic fluid collections, postoperative collections, etc). Lower success rates, ranging from 27% to 61%, have been historically reported in series limited to patients with CD [16][17][18].…”
PAD is a safe and effective alternative to surgery for draining deep infected fluid collections, with a higher success rate, lower complication rate and shorter hospital stay compared to surgical drainage. Meticulous technique and careful access planning seem to be the two most important factors affecting the outcome.
“…Some, 2,7e10,15,20 but not all 13,14,16 investigators have claimed that the more limited procedure is associated with reduced mortality. To our knowledge, a randomized, prospective study has not been done.…”
“…Intraabdominal infections can present as low grade fever, anorexia, ileus, wound dehiscence and pus from intra-abdominal drains. [8,32] Laboratory investigations may reveal leucocytosis, with positive blood cultures for polymicrobial etiology/anaerobic bacteria or Enterococcus spp. Central and peripheral catheter line tips should be sent for culture in all suspected febrile patients and should be cultured using the semi-quantitative method.…”
Accidents and trauma are a leading global cause of mortality in young adults. Infections are one of the most important causes of death in traumatized patients. This is because of factors related to host and those due to trauma itself. Trauma jeopardizes the host's tissue integrity and immune effector mechanisms. Severely traumatized patients admitted to the ICUs are prone to get nosocomial infections due to open wounds and indwelling life saving devices. Massive blood loss also impairs the distribution of polymorphs, complement and antibiotics to the damaged tissues. Finally, diagnosis of infections in traumatized patients poses a challenge to clinicians due to various factors.
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