Epidural abscess primary prevention: Difference between revisions
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==Primary Prevention== | ==Primary Prevention== | ||
Considering the [[etiology]] and [[pathophysiology]] of spinal and intracranial epidural abscesses, the rapid treatment of cases of [[sinusitis]], [[otitis]] and [[mastoiditis]] may decrease the risk of developing | 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]]. | ||
==References== | ==References== | ||
Revision as of 02:31, 31 March 2014
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]
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. [1] It may occur in two different places: 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. [2] 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.
Primary Prevention
Considering the etiology and pathophysiology of spinal and intracranial epidural abscesses, the rapid treatment of cases of sinusitis, otitis and mastoiditis may decrease the risk of developing epidural abscess. [3] Along with the prevention of head and spinal trauma and the decrease of IV drug use.
References
- ↑ Longo, Dan L. (Dan Louis) (2012). Harrison's principles of internal medici. New York: McGraw-Hill. ISBN 978-0-07-174889-6.
- ↑ Danner, R. L.; Hartman, B. J. (1987). "Update of Spinal Epidural Abscess: 35 Cases and Review of the Literature". Clinical Infectious Diseases. 9 (2): 265–274. doi:10.1093/clinids/9.2.265. ISSN 1058-4838.
- ↑ Greenlee JE (2003). "Subdural Empyema". Curr Treat Options Neurol. 5 (1): 13–22. PMID 12521560.