PMID- 37273489
OWN - NLM
STAT- MEDLINE
DCOM- 20230607
LR  - 20230612
IS  - 2214-9996 (Electronic)
IS  - 2214-9996 (Linking)
VI  - 89
IP  - 1
DP  - 2023
TI  - Comparative Analysis of Percutaneous Drainage versus Operative Drainage of 
      Intra-Abdominal Abscesses in a Resource-Limited Setting: The Tanzanian 
      Experience.
PG  - 35
LID - 10.5334/aogh.4070 [doi]
LID - 35
AB  - BACKGROUND: Intra-abdominal abscesses (IAAs) are a major cause of morbidity and 
      mortality worldwide. While image-guided percutaneous abscess drainage (PAD) has 
      become the standard of care in many countries, over half of the global population 
      does not have access to interventional radiology (IR) and are left with surgery 
      as the only option for source control. OBJECTIVE: The purpose of this study is to 
      evaluate the development, implementation, and role of a PAD service in a 
      resource-limited setting. METHOD: A retrospective cohort study was performed on 
      all patients who underwent percutaneous or surgical abscess drainage (SAD) of 
      IAAs at Tanzania's national referral hospital from 10/2018 to 4/2021. Patients 
      were identified through a match case search of institutional records and 
      inclusion was confirmed through manual chart review. Demographics, patient 
      presentation, procedural data, and clinical outcomes were recorded in a 
      password-encrypted database and compared between groups. FINDINGS: Sixty-three 
      patients underwent abscess drainage: 32 percutaneously and 31 surgically. In the 
      PAD group, there was a 100% technical success rate and a 0% complication rate. In 
      the SAD group, there was a 64.5% technical success rate and ten deaths within 30 
      days (32.3%), and one additional complication requiring major therapy (3.2%) (p < 
      0.001). CONCLUSION: Results from this study demonstrate that PAD can be performed 
      with high technical success and without complication by trained IR physicians in 
      Tanzania. The development of a successful PAD program exemplifies the drastic 
      need to support the growth of IR services in this setting.
CI  - Copyright: (c) 2023 The Author(s).
FAU - Ukweh, Ofonime Nkechinyere
AU  - Ukweh ON
AUID- ORCID: 0000-0002-6842-8092
AD  - University of Calabar, Calabar, NGN.
FAU - Alswang, Jared M
AU  - Alswang JM
AUID- ORCID: 0000-0002-1839-5712
AD  - Harvard Medical School, Boston, USA.
FAU - Iya-Benson, Joy N
AU  - Iya-Benson JN
AUID- ORCID: 0009-0003-7623-5551
AD  - University of Calabar, Calabar, NGN.
FAU - Naif, Azza
AU  - Naif A
AUID- ORCID: 0009-0000-2217-5723
AD  - Muhimbili National Hospital, Dar Es Salaam, TZN.
FAU - Chan, Shin Mei
AU  - Chan SM
AUID- ORCID: 0000-0001-9318-0335
AD  - Yale school of Medicine, New Haven, CT, USA.
FAU - Laage-Gaupp, Fabian
AU  - Laage-Gaupp F
AUID- ORCID: 0000-0001-6940-9793
AD  - Yale school of Medicine, New Haven, CT, USA.
FAU - Asch, Murray
AU  - Asch M
AUID- ORCID: 0009-0001-2027-4581
AD  - Lakeridge Health, Ontario, Canada.
FAU - Ramalingam, Vijay
AU  - Ramalingam V
AUID- ORCID: 0000-0003-4590-6466
AD  - Beth Israel Deaconess Medical Centre, Boston, MA, USA.
LA  - eng
PT  - Journal Article
DEP - 20230601
PL  - United States
TA  - Ann Glob Health
JT  - Annals of global health
JID - 101620864
SB  - IM
MH  - Humans
MH  - *Abscess/surgery/etiology
MH  - Tanzania/epidemiology
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Radiography, Interventional/adverse effects/methods
MH  - *Abdominal Abscess/surgery/complications
MH  - Drainage/adverse effects/methods
PMC - PMC10237249
OTO - NOTNLM
OT  - Intra-abdominal abscess
OT  - Percutaneous drainage
OT  - Resource-limited setting
OT  - Sub-Saharan Africa
OT  - Surgical drainage
COIS- The authors have no competing interests to declare.
EDAT- 2023/06/05 13:04
MHDA- 2023/06/07 06:42
PMCR- 2023/06/01
CRDT- 2023/06/05 11:47
PHST- 2023/02/02 00:00 [received]
PHST- 2023/05/16 00:00 [accepted]
PHST- 2023/06/07 06:42 [medline]
PHST- 2023/06/05 13:04 [pubmed]
PHST- 2023/06/05 11:47 [entrez]
PHST- 2023/06/01 00:00 [pmc-release]
AID - 10.5334/aogh.4070 [doi]
PST - epublish
SO  - Ann Glob Health. 2023 Jun 1;89(1):35. doi: 10.5334/aogh.4070. eCollection 2023.