{Reference Type}: Journal Article
{Title}: OPEN DRAINAGE VERSUS PERCUTANEOUS DRAINAGE IN THE TREATMENT OF TROPICAL PYOMYOSITIS. PROSPECTIVE AND RANDOMIZED STUDY.
{Author}: Palacio EP;Rizzi NG;Reinas GS;Júnior MM;Júnior AD;Mizobuchi RR;Yanasse RH;da Silva MV;Branco RB;Galbiatti JA;
{Journal}: Rev Bras Ortop
{Volume}: 45
{Issue}: 3
{Year}: May-Jun 2010
暂无{DOI}: 10.1016/S2255-4971(15)30366-9
{Abstract}: <B>OBJECTIVE: </B>To compare the results from treating tropical pyomyositis through percutaneous drainage of abscesses versus open surgical drainage of abscesses, by means of a randomized prospective study.<BR><B>METHODS: </B>Twenty-five patients with tropical pyomyositis (Chiedozi grade II) were included in this study. They were randomized into two groups: group A (n = 13), treated with antibiotics and open drainage of the abscesses; and group B (n = 12), treated with antibiotics and percutaneous drainage of the abscesses.<BR><B>RESULTS: </B>The mean age was 35.3 years (± 19.2) in group A and 30.1 years (± 9) in group B (p = 0.41). There were eight female patients (61.5%) and five male patients (38.5%) in group A; in group B, three were female (25%) and nine were male (75%) (p = 0.11). Staphylococcus aureus was the microorganism most frequently found (72%). The mean hospital stay in group A was 12.7 days (± 2.3), and in group B, 10.6 days (± 1.6) (p = 0.01). The mean duration of antibiotic use in group A was 12.2 days (± 2.3), and in group B, 10.1 days (± 1.5) (p = 0.02).<BR><B>CONCLUSIONS: </B>Percutaneous drainage of the abscesses, in association with antibiotic therapy, is an efficient treatment method for tropical pyomyositis grade II, with shorter antibiotic use and hospital stay for patients.