ASSESSING THE EFFECTIVENESS OF THE ANTIBIOTIC REGIMEN CEFTRIAXONE 2G, METRONIDAZOLE 1500MG, DOXYCYCLINE 200MG IN CONSERVATIVE MEDICAL THERAPY TO MANAGEMENT OF TUBO-OVARIAN ABSCESS AT GIA DINH PEOPLE’S HOSPITAL

Thắng Trần Thế, Thương Bùi Chí

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Abstract

Objective: To determine the failure rate of medical treatment and describe factors associated with treatment failure in cases of tubo-ovarian abscess at Gia Dinh People’s Hospital. Methods: A retrospective case series study was conducted on 101 female patients diagnosed with tubo-ovarian abscess and treated at the Obstetrics and Gynecology Department of Gia Dinh People’s Hospital from January 2023 to February 2024. Results: The failure rate of medical treatment with the antibiotic regimen at Gia Dinh People’s Hospital was 20.79% [95% CI 0.14-0.30]. Factors influencing treatment outcomes included fever symptoms after 24 hours antibiotic administration and leukocyte count upon admission, with an optimal cut-off point of 14.3/mm³. Conclusion: It is essential to establish a protocol for stratifying patients by risk to optimize treatment plans. For patients presenting with fever and elevated leukocyte counts, closer clinical monitoring, supplementary diagnostic tests, and early intervention with alternative treatment methods are recommended.

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References

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