TY - JOUR
T1 - Factors complicating surgical management of the vulvar abscess
AU - Kilpatrick, Charlie C.
AU - Alagkiozidis, Ioannis
AU - Orejuela, Francisco J.
AU - Chohan, Lubna
AU - Hollier, Lisa M.
PY - 2010/3
Y1 - 2010/3
N2 - OBJECTIVE: To delineate risk factors and demographics in those patients with vulvar abscess that required surgical intervention, identify the most common bacterial isolate present at the time of surgery and comment on the progression to necrotizing fasciitis and the need for reoperation. STUDY DESIGN: Retrospective chart review. RESULTS: A total of 47 vulvar abscesses with cellulitis were managed surgically. The most common isolate was methicillin-resistant Staphylococcus aureus (MRSA), which comprised 43% of the total. The median length of stay was 4 days (1-66), and 17% had stays >7 days. Diabetes was significantly related to hospitalization >7 days (38% vs. 6%, p<0.01), reoperation (25% vs. 3%, p = 0.02) and progression to necrotizing fasciitis (19% vs. 0%, p = 0.01). CONCLUSION: When treating abscess of the vulva with cellulitis, antibiotic coverage of MRSA should be undertaken. Inpatient management with aggressive treatment far abscess of the vulva in those patients with concomitant diabetes is recommended.
AB - OBJECTIVE: To delineate risk factors and demographics in those patients with vulvar abscess that required surgical intervention, identify the most common bacterial isolate present at the time of surgery and comment on the progression to necrotizing fasciitis and the need for reoperation. STUDY DESIGN: Retrospective chart review. RESULTS: A total of 47 vulvar abscesses with cellulitis were managed surgically. The most common isolate was methicillin-resistant Staphylococcus aureus (MRSA), which comprised 43% of the total. The median length of stay was 4 days (1-66), and 17% had stays >7 days. Diabetes was significantly related to hospitalization >7 days (38% vs. 6%, p<0.01), reoperation (25% vs. 3%, p = 0.02) and progression to necrotizing fasciitis (19% vs. 0%, p = 0.01). CONCLUSION: When treating abscess of the vulva with cellulitis, antibiotic coverage of MRSA should be undertaken. Inpatient management with aggressive treatment far abscess of the vulva in those patients with concomitant diabetes is recommended.
KW - Abscess
KW - Staphylococcus aureus
KW - Vulvar diseases
UR - http://www.scopus.com/inward/record.url?scp=77953436004&partnerID=8YFLogxK
M3 - Article
C2 - 20506675
AN - SCOPUS:77953436004
SN - 0024-7758
VL - 55
SP - 139
EP - 142
JO - The Journal of reproductive medicine
JF - The Journal of reproductive medicine
IS - 3-4
ER -