Epidural abscess primary prevention: Difference between revisions

Jump to navigation Jump to search
← Older editNewer edit →
VisualWikitext
Joao Silva (talk | contribs)
nocaptcha, Administrators
12,083 edits
Anthony Gallo (talk | contribs)
Bureaucrats, bureaucrats, nocaptcha, Administrators
6,611 edits
No edit summary
Line 1: Line 1:
__NOTOC__
__NOTOC__
{{Epidural abscess}}
{{Epidural abscess}}
{{CMG}}; {{AE}} {{JS}}
{{CMG}} {{AE}} {{JS}}; {{AG}}


==Overview==
==Overview==
An epidural abscess is a rare [[suppurative]] [[infection]] of the [[central nervous system]], a collection of [[pus]] localised in the [[epidural space]], lying outside the [[dura mater]], which accounts for less than 2% of focal [[CNS]] infections. <ref>{{Cite book  | last1 = Longo | first1 = Dan L. (Dan Louis) | title = Harrison's principles of internal medici | date = 2012 | publisher = McGraw-Hill | location = New York | isbn = 978-0-07-174889-6 | pages =  }}</ref> It may occur in two different places: [[intracranial space|intracranially]] or in the [[spinal canal]].  Due to the fact that the initial symptoms and clinical characteristics are not always identical and are similar to other diseases, along with the fact that they are both rare conditions, the final [[diagnosis]] might be delayed in time. This late [[diagnosis]] comes at great cost to the patient, since it is usually accompanied by a bad [[prognosis]] and severe [[complications]], with a potential fatal outcome. According to the location of the collection, the [[abscess]] may have different origins, different organisms involved, symptoms, evolutions, complications and therapeutical techniques. <ref name="DannerHartman1987">{{cite journal|last1=Danner|first1=R. L.|last2=Hartman|first2=B. J.|title=Update of Spinal Epidural Abscess: 35 Cases and Review of the Literature|journal=Clinical Infectious Diseases|volume=9|issue=2|year=1987|pages=265–274|issn=1058-4838|doi=10.1093/clinids/9.2.265}}</ref> The treatment of [[epidural abscess]] focuses in two main aspects: reduction of the [[inflammatory]] mass and eradication of the responsible organism. These goals can be reached through a combination of [[medical]] and [[surgical]] approaches. An early [[surgical]] decompression and drainage, along with an aggressive [[antibiotic]] treatment is the ideal procedure to increase the chances of a better [[outcome]].
Effective measures for the primary prevention of epidural abscess include rapid treatment of inflammatory diseases of the head, prevention of [[trauma]], and decreased [[IV drug use]].  


==Primary Prevention==
==Primary Prevention==
Considering the [[etiology]] and [[pathophysiology]] of spinal and intracranial [[epidural abscess|epidural abscesses]], the rapid treatment of cases of [[sinusitis]], [[otitis]] and [[mastoiditis]] may decrease the risk of developing [[epidural abscess]]. <ref name="pmid12521560">{{cite journal| author=Greenlee JE| title=Subdural Empyema. | journal=Curr Treat Options Neurol | year= 2003 | volume= 5 | issue= 1 | pages= 13-22 | pmid=12521560 | doi= | pmc=|url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12521560  }} </ref> Along with the prevention of [[head trauma|head]] and [[spinal cord|spinal]] [[trauma]] and the decrease of [[IV drug use]].
Effective measures for the primary prevention of epidural abscess include: <ref name="pmid12521560">{{cite journal| author=Greenlee JE| title=Subdural Empyema. | journal=Curr Treat Options Neurol | year= 2003 | volume= 5 | issue= 1 | pages= 13-22 | pmid=12521560 | doi= | pmc=|url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12521560  }} </ref>
 
 
*Rapid treatment of:
**[[Sinusitis]]
**[[Otitis]]
**[[Mastoiditis]]
*Prevention of:
**[[Head trauma]]
*[[spinal cord|Spinal]] [[trauma]]  
*Decreased [[IV drug use]]
 
 


==References==
==References==

Revision as of 20:05, 20 November 2015

Epidural abscess Microchapters

Home

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Epidural abscess from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

CT

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Epidural abscess primary prevention On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Epidural abscess primary prevention

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Epidural abscess primary prevention

CDC on Epidural abscess primary prevention

Epidural abscess primary prevention in the news

Blogs on Epidural abscess primary prevention

Directions to Hospitals Treating Epidural abscess

Risk calculators and risk factors for Epidural abscess primary prevention

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]; Anthony Gallo, B.S. [3]

Overview

Effective measures for the primary prevention of epidural abscess include rapid treatment of inflammatory diseases of the head, prevention of trauma, and decreased IV drug use.

Primary Prevention

Effective measures for the primary prevention of epidural abscess include: [1]



References

  1. ↑ Greenlee JE (2003). "Subdural Empyema". Curr Treat Options Neurol. 5 (1): 13–22. PMID 12521560.
Retrieved from "https://www.wikidoc.org/index.php?title=Epidural_abscess_primary_prevention&oldid=1189172"