Microbiology of cysts/abscesses of Bartholin's gland: Review of empirical antibiotic therapy against microbial culture

Bhide, Arpana; Nama, V; Patel, Shivani; Kalu, Eziyi Iche

doi:10.3109/01443615.2010.505672

Cited by 34 publications

(33 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Careful attention should be made to strategies that may reduce the risk of recurrence by ensuring that operators are well trained, the cavity is completely evacuated, and antibiotics are tailored to microbiology sensitivities; these approaches are known to reduce rates of recurrence and prevent morbidity including postoperative sepsis. 19,20 Whatever treatment is offered, all women with a symptomatic cyst or abscess of the Bartholin's gland should be counselled regarding the high risk of future recurrence. The recurrence rates reported within our review are consistent with the recurrence rates reported in the published literature, which range from 2.7 to 17.4%.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of treatments for Bartholin’s cyst or abscess: a systematic review

Stocking

Showell

Kirk

et al. 2020

BJOG

View full text Add to dashboard Cite

Background No consensus on the management of symptomatic cysts or abscesses of the Bartholin’s gland exists. Objectives To assess the effectiveness and safety of surgical interventions for a symptomatic Bartholin’s cyst or abscess. Search Strategy We searched bibliographical databases from inception to April 2019. Selection Criteria Randomised trials evaluating a surgical intervention for the treatment of a symptomatic Bartholin’s cyst or abscess. Data Collection and Analysis Eight trials, reporting data from 699 women, were included. Study characteristics and methodological quality were recorded for each trial. Summary estimates were calculated using random‐effects methods. Main Results When considering the recurrence of a symptomatic Bartholin’s cyst or abscess, the evidence was consistent with notable effects in either direction (risk ratio [RR] 0.76; 95% confidence interval [CI] 0.41–1.40) when comparing marsupialisation with incision, drainage and insertion of a Word catheter. Limited inference could be made when comparing marsupialisation with incision, drainage and silver nitrate insertion (RR 1.00; 95% CI 0.57–1.75), and incision, drainage and cavity closure (RR 0.25; 95% CI 0.01–4.89). There was limited reporting of secondary outcomes, including haematoma, infectious morbidity and persistent dyspareunia. Conclusions Current randomised trial evidence does not support the use of any single surgical intervention for the treatment of a symptomatic cyst or abscess of the Bartholin’s gland. Prospective Registration PROSPERO: International Prospective Register of Systematic Reviews; CRD42018088553. Tweetable Abstract Further research is needed to identify an effective treatment for #Bartholin’s cyst or abscess. @jamesmnduffy

show abstract

Section: Discussionmentioning

confidence: 99%

Evaluation of treatments for Bartholin’s cyst or abscess: a systematic review

Stocking

Showell

Kirk

et al. 2020

BJOG

View full text Add to dashboard Cite

show abstract

“…Bartholin's gland cysts and abscesses are the commonest gynaecological cystic disease of the vulva occurring in gynaecological practice all over the world as cystic growth of the labia majora [1].…”

Section: Introductionmentioning

confidence: 99%

Incidence, Presentation and Management of Bartholin’s Gland Cysts/Abscesses: A Four-Year Review in Federal Teaching Hospital, Abakaliki, South-East Nigeria

Anozie¹,

Esike²,

Anozie³

et al. 2016

OJOG

View full text Add to dashboard Cite

Background: The Bartholin's gland cysts and abscesses are one of the most common vulva cyst or abscesses in gynaecological practice. Symptomatic cases give significant discomfort to sufferers and have a negative impact on their quality of life. Objective: To investigate the incidence, pattern of presentation and management of Barthholin's gland cysts and abscesses in the Federal Teaching Hospital Abakaliki (FETHA) Ebonyi State, Nigeria. Methodology: This was a four-year retrospective study of cases of Bartholin's gland cysts and abscesses in FETHA. We studied all cases of Bartholin's gland cysts and abscesses that were managed at the Federal Teaching Hospital Abakaliki from 1 st January 2012 to 31 st December 2015. Results: During the study period, there were 1015 gynaecological surgical cases of which 18 were for Bartholin's gland cysts or abscess giving an incidence of 1.78%. The mean age of the patients was 28.8 ± 5.6 years with 61% of the patients within the age range of 21 to 30 years. The commonest risk factor that was found for the occurrence of Bartholin's gland cyst or abscess was previous history of the disease in 14 (77.8%) followed by previous history of sexually transmitted diseases 8 (44.4%). Pain was the commonest presenting symptom in 14 (77.8%) of cases. The left vulva was the commonest site of disease as noted in 15 (83.3%) of patients. Escherichia coli and Staphylococcus aureus were the commonest isolates on swabs with 16 (88.9%) and 14 (77.8%) prevalence respectively. The disease presented commonly in form of abscess as observed in 10 (55.6%) of patients. All the patients had Marsupialization as the modality of treatment. Conclusion: Symptomatic Bartholin's gland cyst and abscess cause significant morbidity for the sufferers and decreased quality of life. Accurate diagnosis and treatment is advocated to prevent chronicity and complications. Although options of treatment abound, Marsupialization remains the mainstay of treatment in low resource setting like ours.

show abstract

“…Bartholin's glands are a well-known and studied part of the another alternative less invasive approach is marsupialisation, which is used for the treatment of cysts but not preferable in cases where the abscess is noted [3].…”

Section: Discussionmentioning

confidence: 99%

“Management of Bartholin Cysts and Abscess” in a Tertiary Care Centre, Jeddah, Saudi Arabia

Abduljabbar¹,

Agabawi²,

Habib³

et al. 2018

OJOG

View full text Add to dashboard Cite

Objective: To analyse all cases of Bartholin glands pathology (cysts and abscess), and identify the different variable affecting the method of management with Marsupialization or excision. Methods: This study is a cross-sectional retrospective analysis of all cases of Bartholin cysts and abscess admitted and managed at KAUH, from January 2017 to December 2017. Results: 48 patients were analysed: age (32.60 ± 9.9), parity, BMI (26.9 ± 4.98). Out of 48 patients, 25 (52.1%) were diagnosed as Bartholin cysts and 23 (47.9%) as Bartholin abscess. 72.9% (35) patients were managed with Marsupialization, and only 27.1% ended with excision. Comparing age in years, parity and BMI in the cases managed by Marsupialization with those with excision, the only statically significant difference was found in the parity. When comparing the important factors collected, younger subjects less than 35 years old, never being pregnant and BMI less than 30 had more Marsupialization than excision. But age < 35 was statistically significant (Table 1). Abscess and non-recurrent had more Marsupialization but were statistically not significant. Other factors, past medical and surgical history and type of anaesthesia were the same in both groups. Logistic regression performed using the dependent variable for Marsupialization rather than excision with different covariant categorised variable, age less than 35, single, abscess, non-recurrent, and BMI less than 30 (Table 2). Age less than 35 and BMI less than 30 were likely to have Marsupialization whether it is an abscess or cysts, but the difference is not statistically significant. When we looked at different variables like single and non-recurrent, there was no difference. But Abscess formation was in favor of Marsupialization statistically significant p < 0.002 (OR95% CL 2.446; 1.209-37.844). Conclusion: The traditional treatment modality, which is Marsupialization, was save effective and still mostly performed in the younger age group of patients. Abscess formation is favoring its choice as treatment.

show abstract

Microbiology of cysts/abscesses of Bartholin's gland: Review of empirical antibiotic therapy against microbial culture

Cited by 34 publications

References 10 publications

Evaluation of treatments for Bartholin’s cyst or abscess: a systematic review

Evaluation of treatments for Bartholin’s cyst or abscess: a systematic review

Incidence, Presentation and Management of Bartholin’s Gland Cysts/Abscesses: A Four-Year Review in Federal Teaching Hospital, Abakaliki, South-East Nigeria

“Management of Bartholin Cysts and Abscess” in a Tertiary Care Centre, Jeddah, Saudi Arabia

Contact Info

Product

Resources

About