Clinical significance of C-reactive protein values in antibiotic treatment for pyogenic liver abscess

World J Gastroenterol. 2010 Oct 14;16(38):4871-5. doi: 10.3748/wjg.v16.i38.4871.

Abstract

Aim: To investigate the clinical significance of C-reactive protein (CRP) values in determining the endpoint of antibiotic treatment for liver abscess after drainage.

Methods: The endpoints of antibiotic treatment in 46 patients with pyogenic liver abscess after complete percutaneous drainage were assessed by performing a retrospective study. After complete percutaneous drainage, normal CRP values were considered as the endpoint in 18 patients (experimental group), and normal body temperature for at least 2 wk were considered as the endpoints in the other 28 patients (control group).

Results: The duration of antibiotic treatment after complete percutaneous drainage was 15.83 ± 6.45 d and 24.25 ± 8.18 d for the experimental and the control groups, respectively (P = 0.001), being significantly shorter in the experimental group than in the control group. The recurrence rate was 0% for both groups. However, we could not obtain the follow-up data about 3 patients in the control group.

Conclusion: CRP values can be considered as an independent factor to determine the duration of the antibiotic treatment for pyogenic liver abscess after complete percutaneous drainage.

MeSH terms

  • Aged
  • Anti-Bacterial Agents / therapeutic use*
  • C-Reactive Protein / metabolism*
  • Drainage
  • Female
  • Humans
  • Liver Abscess, Pyogenic* / blood
  • Liver Abscess, Pyogenic* / drug therapy
  • Liver Abscess, Pyogenic* / surgery
  • Male
  • Middle Aged
  • Retrospective Studies
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents
  • C-Reactive Protein