Pyogenic liver abscess secondary prevention

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Yamuna Kondapally, M.B.B.S[2]

Overview

Secondary Prevention

  • Long term monitoring helps in preventing the complications and recurrence of pyogenic liver abscess.[1]
  • Monitor the abscess cavity weekly for adequate drainage using CT or USG.
  • Persistent fever more than 2 weeks of therapy is an indication for more aggressive drainage.
  • Prolonged antibiotic therapy after discharge of patient is recommended.
  • Presence of underlying liver disease is the predisposing factor for the recurrence of pyogenic liver disease.

References

  1. Cheng HC, Chang WL, Chen WY, Kao AW, Chuang CH, Sheu BS (2008). "Long-term outcome of pyogenic liver abscess: factors related with abscess recurrence". J Clin Gastroenterol. 42 (10): 1110–5. doi:10.1097/MCG.0b013e318157e4c1. PMID 18458641.