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Should I Continue Antibiotics For Collection Of Fluid At Post Operative Site?
Question: my wife hadlaminectomy done two months back.she developed p.o.sepsis and treated with piperacilin sulbactum followed by amikazine and imipenam for 15days.
she has a collection of sero sanguinal fluid in the superficial layer above the muscles.ultra sound aspiration was done and repeat ultrasono gram revealed decrease in fluid volume.she was operated for the second time on the 20th day of surgery and washed out with metrogyyl,and antibiotics.should i leave the small collection for natural resolution or go in for drainage
she has a collection of sero sanguinal fluid in the superficial layer above the muscles.ultra sound aspiration was done and repeat ultrasono gram revealed decrease in fluid volume.she was operated for the second time on the 20th day of surgery and washed out with metrogyyl,and antibiotics.should i leave the small collection for natural resolution or go in for drainage
Brief Answer:
No need to drain at present continue drugs
Detailed Answer:
Hello XXXXX,
I have gone through your question and understand your concerns.
Post operative site collection with abscess is a matter of concern. You mentioned that the fluid was aspirated and then drainage was also done.
Since the ultrasound shows decrease in collection and she is also taking antibiotics, the chances of healing without any repeat drainage is high.
Was there any culture sensitivity done with the aspirated or drained sample for antibiotic sensitivity.
I will advise you to continue the medications and close follow up with ultrasound .
Your treating doctor will be monitoring it clinically also.
Hope she recovers soon.
Wishing her good health.
Regards
Dr Neeraj Kumar
Neurologist
No need to drain at present continue drugs
Detailed Answer:
Hello XXXXX,
I have gone through your question and understand your concerns.
Post operative site collection with abscess is a matter of concern. You mentioned that the fluid was aspirated and then drainage was also done.
Since the ultrasound shows decrease in collection and she is also taking antibiotics, the chances of healing without any repeat drainage is high.
Was there any culture sensitivity done with the aspirated or drained sample for antibiotic sensitivity.
I will advise you to continue the medications and close follow up with ultrasound .
Your treating doctor will be monitoring it clinically also.
Hope she recovers soon.
Wishing her good health.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Raju A.T
repeated cultures did not show any organisms.
first culture done on the 13th p.o.day showed moderate of growth of e.coli.
after the second surgey fluid collected did not show any growth.
the ultrasound aspirated fluid also showed no growth
first culture done on the 13th p.o.day showed moderate of growth of e.coli.
after the second surgey fluid collected did not show any growth.
the ultrasound aspirated fluid also showed no growth
Brief Answer:
Continue antibiotics and monitor
Detailed Answer:
hello XXXXX,
If culture is negative at present and amount is decreasing, then best approach will be to continue antibiotics and monitor .
Regards
Dr Neeraj Kumar
Neurologist
Continue antibiotics and monitor
Detailed Answer:
hello XXXXX,
If culture is negative at present and amount is decreasing, then best approach will be to continue antibiotics and monitor .
Regards
Dr Neeraj Kumar
Neurologist
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Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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