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Obstetrics & Gynecology:
doi: 10.1097/AOG.0b013e3182a5f0de
Original Research

Clinical and Microbiological Characteristics of Bartholin Gland Abscesses

Kessous, Roy MD; Aricha-Tamir, Barak MD; Sheizaf, Boaz MD; Shteiner, Naama MD; Moran-Gilad, Jacob MD; Weintraub, Adi Y. MD

Correction
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Abstract

OBJECTIVE: To examine the clinical course and causative microorganisms of Bartholin gland abscesses.

METHODS: This was a retrospective study of all patients treated for Bartholin gland abscesses between the years 2006 and 2011 at the Soroka University Medical Center, a regional medical center in southern Israel.

RESULTS: During the study period, 219 women were admitted as a result of an abscess of the Bartholin gland, 63% of which were primary abscesses and 37% recurrent abscesses (occurrence of a second clinical event). Pus cultures were positive in 126 (61.8%) of cases. Escherichia coli was the single most frequent pathogen found (43.7%) and 10 cases (7.9%) were polymicrobial. Culture-positive cases were significantly associated with fever (25% compared with 9.3%; P=.043), leukocytosis (50.4% compared with 33.8%; P=.027), and neutrophilia (17.9% compared with 5.9%; P=.021). The odds ratio of having any of these with a positive culture was 2.4 (95% confidence interval 1.3–4.3; P=.003). In the recurrent group, 81% recurred ipsilaterally and the mean time for recurrence was 32±50 months. Infection with E coli was significantly more common in recurrent infection compared with primary infections (56.8% compared with 37%; P=.033). Three cases of resistance to most beta-lactam antimicrobials (extended-spectrum beta-lactamase-producing [E coli] strains) were identified.

CONCLUSION: A substantial proportion of patients with Bartholin gland abscess are culture-positive with E coli being the single most common pathogen. Microbiological findings coupled with their clinical correlates are important parameters in the management of patients with a Bartholin gland abscess and in the selection of empirical antimicrobial treatment during the primary diagnosis.

LEVEL OF EVIDENCE: III

© 2013 by The American College of Obstetricians and Gynecologists.

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