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dc.contributor.authorNham, Eliel-
dc.contributor.authorLee, Jeong Hyun-
dc.contributor.authorHuh, Kyungmin-
dc.contributor.authorKo, Jae-Hoon-
dc.contributor.authorCho, Sun Young-
dc.contributor.authorKang, Cheol-In-
dc.contributor.authorChung, Doo Ryeon-
dc.date.accessioned2024-12-16T07:36:34Z-
dc.date.available2024-12-16T07:36:34Z-
dc.date.issued2023-02-
dc.identifier.citationOriginal Articleen_US
dc.identifier.urihttp://localhost:8080/xmlui/handle/123456789/9109-
dc.description.abstractAbstract Introduction: Poor liquefaction of pyogenic liver abscesses, which makes drainage impossible at the time of diagnosis, is not infrequent. The impact of poor liquefaction and subsequent drainage failure on clinical outcomes is unknown. Methods: We conducted a retrospective study with all patients diagnosed with liver abscesses from July 2017 through June 2020. Late drainage (LD) was defined as drainage performed 48 h after diagnosis due to poor liquefaction. Logistic regression was performed to identify the factors associated with late or non-drainage (LD/ND). The Cox proportional hazard model was used to identify the variables related to abscess recurrence by 90 days after diagnosis. Results: A total of 153 patients were included. Thirty (19.6%) patients underwent LD and 54 (35.3%) did not undergo drainage. Other than non-cystic appearance, LD/ND was associated with smaller size (adjusted odds ratio [aOR] 0.85, 95% confidence interval [CI] 0.73e0.98, p Z 0.031) and culture-negativity (aOR 2.69, 95% CI 1.14e6.67, p Z 0.027). Current hepatopancreaticobiliary malignancy was the only significant predictor of 90-day recurrence. Neither LD/ND (OR, 0.56; 95% CI, 0.13e2.41; p Z 0.426) nor LD (OR, 1.26; 95% CI, 0.23e5.55; p Z 0.719) was associated with recurrence by 90 days. The incidence of late complications was reduced by drainage, without a reduction in the duration of hospitalization. Conclusion: Several clinical features were associated with undrainable liver abscesses. Neither LD/ND nor ND had an adverse impact on clinical outcomes.en_US
dc.language.isoen_USen_US
dc.publisherJournal of Microbiology, Immunology and Infectionen_US
dc.subjectDrainageen_US
dc.subjectLate drainageen_US
dc.subjectLiver abscessen_US
dc.subjectUndrainableen_US
dc.subjectUnliquefieden_US
dc.titlePredictive and prognostic factors associated with unliquefied pyogenic liver abscessesen_US
dc.typeArticleen_US
Appears in Collections:VOL 56 NO 1 2023

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