Risk factors for adverse clinical outcomes in patients with tubo-ovarian abscess

Abstract

This study assessed the risk factors for poor clinical outcomes in patients with tubo-ovarian abscess (TOA). Patients managed with medical therapy and discharged within 7 days without complications constituted the favourable prognosis group (n = 22), whereas those who were managed surgically or discharged after 7 days of antibiotic therapy constituted the poor prognosis group (n = 87). Variables including age, gravidity, number of dilation and curettage procedures, caesarean delivery, smoking status, serum C-reactive protein levels, serum white blood count, body temperature, abscess diameter, presence of an intrauterine device (IUD), duration of IUD placement and length of hospitalisation were evaluated to assess their relationship with the clinical prognosis of TOA. Abscess diameter of ≥ 6 cm was a significant parameter that increased the risk eightfold for poor prognosis. No significant differences were observed regarding the other variables.

Keywords::

• antibiotic therapy
• pelvic inflammatory disease
• surgery
• Tubo-ovarian abscess

Declaration of interest: The authors report no declarations of interest. The authors alone are responsible for the content and writing of the paper.

Funding: This project received no funding.

Disclosure: We have no relevant financial or nonfinancial relationships to disclose.