Anal fistula medical therapy

Anal fistula Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Manpreet Kaur, MD [2]

Pharmocotherapy

• Empiric therapy for anal fistula depends on following factors:
  • Location of anal fistula.
  • Signs and symptoms of abscess.
• Main stay of therapy is surgical management but antibiotics are given in the following condition:<ref name="pmid15933794">Whiteford MH, Kilkenny J, Hyman N, Buie WD, Cohen J, Orsay C, Dunn G, Perry WB, Ellis CN, Rakinic J, Gregorcyk S, Shellito P, Nelson R, Tjandra JJ, Newstead G (2005). "Practice parameters for the treatment of perianal abscess and fistula-in-ano (revised)". Dis. Colon Rectum. 48 (7): 1337–42. doi:10.1007/s10350-005-0055-3. PMID 15933794.</ref
  • Immunosuppression
  • Diabetes
  • Extensive cellulitis
  • Prosthetic devices
  • High-risk cardiac patient