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.
We created a biliary tract infection score (BTIS) including local physical and ultrasound findings, signs of inflammation and hepatobiliary involvement.
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.