Quantitative assessment of severity of biliary tract infection.
It is very important for physicians to evaluate the severity of the biliary infection.
At the moment, there is no useful quantitative system.
In this study, we propose a scoring system for assessing the severity of biliary infections and evaluation of the efficacy of antibacterial and endoscopic treatments.
Materials and Methods
We created a biliary tract infection score (BTIS) including local physical and ultrasound findings, signs of inflammation and hepatobiliary involvement.
The BTIS was calculated in 317 patients
Group I - 155 pts with cholecystitis and cholangitis, treated only by antibiotics and group II - 162 pts with acute cholangitis treated by endoscopic procedures.
The BTIS allowed the differentiation of the severity of biliary infections : 15.50±0.52 in acute cholangitis group and 5.77±2.79 in group I (p<0.001).
The BTIS significantly decreased after antibacterial therapy (excluding only the cefotiam subgroup) and in endoscopicaly treated patients.
The BTIS is a combination of simple, reliable, acceptable and low cost parameters, reflecting the principal pathological processes and degree of abnormalities.
A BTIS facilitated the assessment of severity of biliary infection and comparison of the results of various methods of treatment.
Mots-clés Pascal : Infection, Voie biliaire, Evaluation, Indice gravité, Echelle évaluation, Traitement, Chimiothérapie, Antibactérien, Endoscopie, Résultat, Homme, Bactériose, Appareil digestif pathologie, Voie biliaire pathologie
Mots-clés Pascal anglais : Infection, Biliary tract, Evaluation, Severity score, Evaluation scale, Treatment, Chemotherapy, Antibacterial agent, Endoscopy, Result, Human, Bacteriosis, Digestive diseases, Biliary tract disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0451556
Code Inist : 002B05B02F. Création : 10/04/1997.