Srinivas N M, Rohith A.

A STUDY OF OUTCOME MEASURES OF VARIOUS MODALITIES OF TREATMENT IN PATIENTS WITH LIVER ABSCESS

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Aims and Objectives: To determine the outcome measures of various modalities of treatment in patients with liver abscess based on the etiology and clinical presentation Demographic prole, clinical examination and invest Materials and Methods: igations are done and data will be collected in the study. Data will be analysed including age, gender, vital signs, symptoms, clinical ndings, ultrasound ndings. Later patients will divide into pyogenic and amoebic liver abscess on one side ruptured, unruptured on the other side. Initially all the uncomplicated patients are started on Intravenous antibiotics. If they are responding antibiotics are continued if they are not responding they are assessed by 1. Continue to be febrile > 48-72hrs, abscess >6cm size, clinical and ultrasonic features of impending perforation transcutaneous drainage is carried out. The patients will be assessed for the outcome of above-mentioned treatment modalities in terms of clinical examination and investigations like complete blood count, LFT, PT/INR and review ultrasound ndings. Open drainage is carried out for patients with 1. Thick pus which cannot be aspirated, 2. Patients with multiple liver abscess, 3. Abscess in left lobe and 4. Ruptured abscess. Treatment of the liver abscess are Results and Conclusion: chosen according to the presentation, ultrasound volume of the abscess cavity and laboratory parameters. Small abscess which are <100cc can be managed by the local antibiotics and conservative management <200cc abscess cavity collections were managed by the transcutaneous aspiration and antibiotics. The abscess cavity ranging from 500-1000cc (Abscess should be treated by percutaneous pigtail catheter insertion. Abscess which are ruptured to peritoneal cavity are managed by open surgical drainage. The outcomes of the treatments are measured by review ultrasound, decrease in the total counts, albumin levels, and also the normalizing values of the total and direct bilirubin.

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