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Microbiology of cysts/abscesses of Bartholin's gland: review of empirical antibiotic therapy against microbial culture.
J Obstet Gynaecol. 2010; 30(7):701-3.JO

Abstract

Bartholin's glands are prone to obstruction at their opening into the vestibule, forming cysts which could be infected to become gland abscess. In our unit, treatment of Bartholin's abscess is usually surgical. In addition to surgical treatment, antimicrobial agents are often administered before microbial culture results are known. In this study, we aimed to determine the most common pathogens in Bartholin's glands abscess in our local population so that empiric antimicrobial therapy, if required, could be correctly directed. Among the 78 cases reviewed, there was positive microbial culture in 73.9%. Bartholin's abscess was commonly caused by opportunistic organisms, either as single agents or polymicrobial infections. Aerobic organisms were the commonest with coliforms being the most common bacteria. No cases of N. gonorrhoea or C. trachomatis were encountered. Flucloxacillin as a single agent was the most frequently prescribed antibiotic. Poly-pharmacy was common practice. It was concluded that whether adjuvant antibiotic therapy is necessary following surgical treatment of Bartholin's abscess is still controversial. Where antibiotics are required, the optimal initial therapy is not known. As poly-microbial infections are common, a broad spectrum agent like co-amoxiclav may be suitable for empirical treatment until culture results are known.

Authors+Show Affiliations

Department of Gynaecology, Kingston Hospital NHS Trust, Kingston Upon Thames, UK.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20925614

Citation

Bhide, A, et al. "Microbiology of Cysts/abscesses of Bartholin's Gland: Review of Empirical Antibiotic Therapy Against Microbial Culture." Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology, vol. 30, no. 7, 2010, pp. 701-3.
Bhide A, Nama V, Patel S, et al. Microbiology of cysts/abscesses of Bartholin's gland: review of empirical antibiotic therapy against microbial culture. J Obstet Gynaecol. 2010;30(7):701-3.
Bhide, A., Nama, V., Patel, S., & Kalu, E. (2010). Microbiology of cysts/abscesses of Bartholin's gland: review of empirical antibiotic therapy against microbial culture. Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology, 30(7), 701-3. https://doi.org/10.3109/01443615.2010.505672
Bhide A, et al. Microbiology of Cysts/abscesses of Bartholin's Gland: Review of Empirical Antibiotic Therapy Against Microbial Culture. J Obstet Gynaecol. 2010;30(7):701-3. PubMed PMID: 20925614.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Microbiology of cysts/abscesses of Bartholin's gland: review of empirical antibiotic therapy against microbial culture. AU - Bhide,A, AU - Nama,V, AU - Patel,S, AU - Kalu,E, PY - 2010/10/8/entrez PY - 2010/10/12/pubmed PY - 2011/1/25/medline SP - 701 EP - 3 JF - Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology JO - J Obstet Gynaecol VL - 30 IS - 7 N2 - Bartholin's glands are prone to obstruction at their opening into the vestibule, forming cysts which could be infected to become gland abscess. In our unit, treatment of Bartholin's abscess is usually surgical. In addition to surgical treatment, antimicrobial agents are often administered before microbial culture results are known. In this study, we aimed to determine the most common pathogens in Bartholin's glands abscess in our local population so that empiric antimicrobial therapy, if required, could be correctly directed. Among the 78 cases reviewed, there was positive microbial culture in 73.9%. Bartholin's abscess was commonly caused by opportunistic organisms, either as single agents or polymicrobial infections. Aerobic organisms were the commonest with coliforms being the most common bacteria. No cases of N. gonorrhoea or C. trachomatis were encountered. Flucloxacillin as a single agent was the most frequently prescribed antibiotic. Poly-pharmacy was common practice. It was concluded that whether adjuvant antibiotic therapy is necessary following surgical treatment of Bartholin's abscess is still controversial. Where antibiotics are required, the optimal initial therapy is not known. As poly-microbial infections are common, a broad spectrum agent like co-amoxiclav may be suitable for empirical treatment until culture results are known. SN - 1364-6893 UR - https://www.unboundmedicine.com/medline/citation/20925614/Microbiology_of_cysts/abscesses_of_Bartholin's_gland:_review_of_empirical_antibiotic_therapy_against_microbial_culture_ L2 - http://www.tandfonline.com/doi/full/10.3109/01443615.2010.505672 DB - PRIME DP - Unbound Medicine ER -