Efficacy of percutaneous abscess drainage in patients with vancomycin-resistant enterococci.
AJR Am J Roentgenol
; 175(2): 533-6, 2000 Aug.
Article
en En
| MEDLINE
| ID: mdl-10915709
ABSTRACT
OBJECTIVE:
We reviewed a 4-year experience draining fluid collections infected with vancomycin-resistant enterococci to determine the outcome of percutaneous intervention in patients with this highly resistant and increasingly common organism. MATERIALS ANDMETHODS:
Charts of patients from whom vancomycin-resistant enterococci had been isolated during percutaneous drainage were reviewed to determine patient response to drainage, catheter management, and outcome of treatment.RESULTS:
Twenty-one patients underwent percutaneous drainage of 28 fluid collections from which vancomycin-resistant enterococci were isolated, including 16 intraabdominal abscesses, seven biliary or urinary obstructions, and five empyemas. The drainage of 27 (96%) of 28 collections were technically successful. In seven patients, drainage provided the first isolation of vancomycin-resistant enterococci from the patient. Five patients also had blood cultures with positive findings for vancomycin-resistant enterococci, and 14 collections were coinfected with other bacteria or with fungi. Twenty collections (71%) or obstructions were successfully treated with percutaneous drainage. Drainage was unsuccessful in treating eight collections in seven patients.CONCLUSION:
Despite high-level antibiotic resistance, fluid collections infected with vancomycin-resistant enterococci can be successfully drained percutaneously, resulting in a favorable likelihood of recovery for patients.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Drenaje
/
Infecciones por Bacterias Grampositivas
/
Enterococcus
/
Resistencia a la Vancomicina
/
Absceso
Tipo de estudio:
Observational_studies
Límite:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Child
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
AJR Am J Roentgenol
Año:
2000
Tipo del documento:
Article
País de afiliación:
Estados Unidos