Epidural abscess secondary prevention: Difference between revisions

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{{Epidural abscess}}
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==Overview==
==Overview==
An epidural abscess is a rare suppurative infection of the [[central nervous system]], a collection of [[pus]] localised in the [[epidural space]] lying outside the [[dura mater]], which accounts for less than 2% of focal [[CNS]] infections. <ref>{{Cite book  | last1 = Longo | first1 = Dan L. (Dan Louis) | title = Harrison's principles of internal medici | date = 2012 | publisher = McGraw-Hill | location = New York | isbn = 978-0-07-174889-6 | pages =  }}</ref> It may occur in two different places: [[intracranial space|intracranially]] or in the [[spinal canal]].  Due to the fact that the initial symptoms and clinical characteristics are not always identical and are similar to other diseases, along with the fact that they are both rare conditions, the final diagnosis might be delayed in time. This late diagnosis comes at great cost to the patient, since it is usually accompanied by a bad prognosis and severe complications, with a potential fatal outcome. According to the location of the collection, the [[abscess]] may have different origins, different organisms involved, symptoms, evolutions, complications and therapeutical techniques. <ref name="DannerHartman1987">{{cite journal|last1=Danner|first1=R. L.|last2=Hartman|first2=B. J.|title=Update of Spinal Epidural Abscess: 35 Cases and Review of the Literature|journal=Clinical Infectious Diseases|volume=9|issue=2|year=1987|pages=265–274|issn=1058-4838|doi=10.1093/clinids/9.2.265}}</ref> The treatment of [[epidural abscess]] focuses in two main aspects: reduction of the [[inflammatory]] mass; and eradication of the responsible organism. These goals can be reached through a combination of therapeutical approaches, including: aspiration, drainage and [[antibiotic]] therapy. An early [[surgical]] decompression and drainage, followed by an aggressive [[antibiotic]] treatment is the ideal procedure to increase the chances of a better outcome.
Secondary prevention strategies following epidural abscess include treatment and management of existing infection.  


==Secondary Prevention==
==Secondary Prevention==
Attending to the concept of [[secondary prevention]], in which efforts are directed at reducing disease progression, avoiding emergence of [[symptoms]], in [[epidural abscess]], [[secondary prevention]] is related to the early [[diagnosis]] of the disease. It is of extreme importance that cases of [[sinusitis]], [[head injury|head]] and [[Spinal cord injury|spinal trauma]], [[neurosurgery]], local and proximal [[infectious]] processes are diagnosed early and treated promptly, in order to prevent the extension of the disease to the [[epidural space]].
Secondary prevention strategies following epidural abscess include:<ref name="pmid1359381">{{cite journal| author=Darouiche RO, Hamill RJ, Greenberg SB, Weathers SW, Musher DM| title=Bacterial spinal epidural abscess. Review of 43 cases and literature survey. | journal=Medicine (Baltimore) | year= 1992 | volume= 71 | issue= 6 | pages= 369-85 | pmid=1359381 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1359381  }} </ref>
*Treatment of local and proximal [[infections]]
*''[[Streptococcus]]'' antibiotic prophylaxis
*Close adherence to physician recommendations
*Changing bandages


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}


[[Category:Wikinfect]]
[[Category:Infectious disease]]
[[Category:Disease]]
[[Category:Disease]]
[[Category:Neurology]]
[[Category:Neurology]]
[[Category:Primary care]]

Latest revision as of 21:36, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]; Anthony Gallo, B.S. [3]

Overview

Secondary prevention strategies following epidural abscess include treatment and management of existing infection.

Secondary Prevention

Secondary prevention strategies following epidural abscess include:[1]

  • Treatment of local and proximal infections
  • Streptococcus antibiotic prophylaxis
  • Close adherence to physician recommendations
  • Changing bandages

References

  1. ↑ Darouiche RO, Hamill RJ, Greenberg SB, Weathers SW, Musher DM (1992). "Bacterial spinal epidural abscess. Review of 43 cases and literature survey". Medicine (Baltimore). 71 (6): 369–85. PMID 1359381.
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