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  • Svensson, EmmaLund University (author)

Increasing incidence of pyogenic liver abscess in Southern Sweden : a population-based study from 2011 to 2020

  • Article/chapterEnglish2023

Publisher, publication year, extent ...

  • 2023-03-21
  • Informa UK Limited,2023
  • electronicrdacarrier

Numbers

  • LIBRIS-ID:oai:lup.lub.lu.se:750e0155-0d58-4cb0-ac70-13ad3b68b076
  • https://lup.lub.lu.se/record/750e0155-0d58-4cb0-ac70-13ad3b68b076URI
  • https://doi.org/10.1080/23744235.2023.2190813DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:152187042URI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:art swepub-publicationtype
  • Subject category:ref swepub-contenttype

Notes

  • BACKGROUND: Pyogenic liver abscess (PLA) is a rare but potentially life-threatening disease, and estimates suggest a gradual increase in the incidence during the last decades. The primary aim of this study was to report the incidence, trend and aetiology of PLA during a decade in Southern Sweden.METHODS: This was a population-based observational cohort study between 2011 and 2020 in Skåne, Southern Sweden. Data were retrieved from the Swedish National Board of Health and Welfare for all individuals diagnosed with liver abscess (K750) according to ICD-10 (International Statistical Classification of Diseases, 10th revision).RESULTS: A total of 456 episodes of PLA occurred in 364 patients during the study period. The median age of the first PLA episode was 71 years (range 3-97) and 57% (n = 206) were men. The mean incidence of all patients was 3.4/100,000 person-years (range 1.8-5.2). The incidence increased almost three times, from 1.8/100,000 person-years in 2011 to 5.2/100,000 person-years in 2020. Streptococcus species, Escherichia coli and Klebsiella species accounted for the vast majority of both mono- and polymicrobial findings in both blood and local abscess cultures. 16s rDNA added information about aetiology in 37% of episodes.CONCLUSION: The incidence of PLA increased during the study period, and Streptococcus spp., Klebsiella spp. and E. coli dominated both blood and local cultures. Despite antimicrobial therapy, pathogens could be found in local abscess cultures several weeks into treatment. Increased use of 16s rDNA in the management of PLA could be beneficial.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Jönsson, AstridLund University (author)
  • Bläckberg, AnnaLund University,Lunds universitet,Translationell infektionsmedicin,Forskargrupper vid Lunds universitet,Translational infection medicine,Lund University Research Groups,Skåne University Hospital(Swepub:lu)an7442bl (author)
  • Sunnerhagen, TorgnyLund University,Lunds universitet,Translationell infektionsmedicin,Forskargrupper vid Lunds universitet,Translational infection medicine,Lund University Research Groups,Region Skåne(Swepub:lu)med-tsh (author)
  • Kiasat, AliKarolinska Institutet,Karolinska Institute (author)
  • Ljungquist, OskarLund University,Lunds universitet,Kliniska Vetenskaper, Helsingborg,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Clinical Sciences, Helsingborg,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Helsingborg Hospital(Swepub:lu)os1372lj (author)
  • Lund UniversityTranslationell infektionsmedicin (creator_code:org_t)

Related titles

  • In:Infectious Diseases: Informa UK Limited55:6, s. 375-3832374-42352374-4243

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