infectious disease

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infectious disease

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5 Posts

elitoki
Forum Guru
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Topics: 54
Posts: 508

07/17/07 - 04:10 PM

I’m mixing up all time…. confused

When should I choose as next best management the antibiotic or surgery (drainage) in presence of abscess? Which go first? sad

Thanks

dr in trouble
Forum Guru
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Topics: 62
Posts: 610

07/17/07 - 08:53 PM

In abcess, it is very difficult for the antibiotics to control the infection as penetration is poor so surgery is better.

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radonc
Forum Senior

Topics: 10
Posts: 180

07/18/07 - 04:36 AM

An abscess almost always needs to be drained.

elitoki
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Topics: 54
Posts: 508

07/18/07 - 12:29 PM

Thanks for answering me, maybe I didn't mention it well..

I was referring other situations....

For example:

1. You find fluctuant mass in neck that consists with G+ branching bacteria... UW said that must give the antibiotic before than drainage.

2. After epidural anesthesia, MRI find lumbar abscess and you should choose drainage before antibiotic. (Also in UW)

So, my question is which situation should I have to choose either one..??? Is there any clue for choose the answer???

elitoki
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Topics: 54
Posts: 508

07/18/07 - 03:18 PM

Abscess and initial treatment.

PID with tubo-ovarian abscess: triple antibiotic
Epidural abscess with neurological manifestation: drainage (surgery)
Epidural abscess without neurological symptom or mild symptom: antibiotic
Cervicofacial abscess due to Actinomyces: antibiotic (penicillin)

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