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How to Treat LIVER Abscess PYOGENIC?


Things to note:
  • Drainage is essential in all cases. This should preferably be done percutaneously by inserting a catheter under ultrasound guidance.

Medical Treatment:
Empiric antibiotic therapy
  • Benzylpenicillin (penicillin G), IV, 2 million units 6 hourly.
PLUS
  • Gentamicin, IV, 6 mg/kg daily.
PLUS
  • Metronidazole, oral, 400 mg 8 hourly.
Antibiotic therapy duration is ill - defined, but in cases of multiple abscesses may need to be as long as 12 weeks. Continue until drainage is complete and CRP has back to normal values. Ultrasound resolution is very slow and is not useful for therapy response monitoring.