Factores de riesgo presentes en pacientes con absceso hepático en el Hospital Teodoro Maldonado Carbo durante los años 2016-2020.

Abstract

Hepatic abscess is a suppurating infection of the liver, secondary to bacteria, parasites or fungi. Despite having accessible diagnostic methods and management options, HA continues to be a cause of high morbidity and mortality in developing countries. The objective of this study was to report the incidence, clinical profile and risk factors present in patients with HA, hospitalized in the Gastroenterology area of the Teodoro Maldonado Carbo Hospital during the years 2016-2020. It is a descriptive observational study that included 81 patients, digital medical records were reviewed according to the collection instrument. Results: The incidence of the disease was 1.4%. 77% of the abscesses were of pyogenic origin, 17% amoebic. The average age 56.37 years +/- 10.6. Liver abscesses were diagnosed in 31 women and 50 men. 95% of the patients had abdominal pain on admission, 80% had a subacute fever and 66% referred asthenia. The most frequent comorbidity in patients diagnosed with liver abscess was arterial hypertension (50.62%), followed by alcoholism (44.44%) and Diabetes Mellitus (28.40%). The antecedents such as cholangitis, cholecystitis and previous infections represented 2.47%, 16.05% and 20.99% respectively. Conclusions: The clinical profile of patients with HA was: a middle-aged male patient with a subacute clinical picture, whose most frequent symptoms were: fever, abdominal pain and asthenia, who in imaging studies presented unique pyogenic abscesses.