Aspiration with Antibiotics for Anorectal Abscess at a Tertiary Care Hospital
An Aspiration Adult Perianal Abscess Result
Keywords:
Anorectal abscess, Aspiration, Antibiotic, Fistula-in-anoAbstract
Objective: Anorectal abscess is a common anorectal condition. Incision and drainage is standard treatment. Aspiration with antibiotics is an alternative in some cases, but evidence for its effectiveness is limited. The objective of the present study is to examine the results of aspiration with antibiotics for anorectal abscess, within 6 months of follow up. Factors associated with abscess recurrence and occurrence of fistula-in-ano were also examined.
Methods: Twenty patients with anorectal abscess who refused surgery and underwent aspiration with antibiotics were compared with 123 patients who underwent standard incision and drainage in a retrospective study. Outcomes included failure of treatment, the recurrence of perianal abscess and the incidence of fistula-in-ano.
Results: Demographic data were similar in both groups. In the aspiration and antibiotics group, 2 patients had treatment failure, 1 had recurrent abscess, but none had fistula-in-ano after 6 months of follow-up. In the incision and drainage group, 18 patients had recurrent abscess and 16 had fistula-in-ano.
Conclusion: Aspiration with antibiotics for anorectal abscess is effective for some patients. It is an alternative method for treating anorectal abscess in selected patients.
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