title: 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.
authors.affiliation: a Zekai Tahir Burak Women's Health Education and Research Hospital , Ankara , Turkey.
authors.forename: H O
authors.initials: HO
authors.lastname: Topçu
authors.affiliation: a Zekai Tahir Burak Women's Health Education and Research Hospital , Ankara , Turkey.
authors.forename: K
authors.initials: K
authors.lastname: Kokanalı
authors.affiliation: a Zekai Tahir Burak Women's Health Education and Research Hospital , Ankara , Turkey.
authors.forename: A I
authors.initials: AI
authors.lastname: Güzel
authors.affiliation: a Zekai Tahir Burak Women's Health Education and Research Hospital , Ankara , Turkey.
authors.forename: A
authors.initials: A
authors.lastname: Tokmak
authors.affiliation: a Zekai Tahir Burak Women's Health Education and Research Hospital , Ankara , Turkey.
authors.forename: S
authors.initials: S
authors.lastname: Erkılınç
authors.affiliation: a Zekai Tahir Burak Women's Health Education and Research Hospital , Ankara , Turkey.
authors.forename: C
authors.initials: C
authors.lastname: Ümit
authors.affiliation: a Zekai Tahir Burak Women's Health Education and Research Hospital , Ankara , Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Doğanay
mesh_terms: D000038:Abscess / Q000000981:diagnostic imaging* / Q000628:therapy; D000328:Adult; D016022:Case-Control Studies; D005184:Fallopian Tube Diseases / Q000000981:diagnostic imaging* / Q000628:therapy; D005260:Female; D006801:Humans; D008875:Middle Aged; D010049:Ovarian Diseases / Q000000981:diagnostic imaging* / Q000628:therapy; D011379:Prognosis; D012189:Retrospective Studies; D012307:Risk Factors; D014463:Ultrasonography; D055815:Young Adult
keywords: Tubo-ovarian abscess; antibiotic therapy; pelvic inflammatory disease; surgery