Pyogenic Liver Abscess: Contemporary Trends in a Tertiary Institute

Table 2

Comparison of the clinical features, diagnosis, management, and outcome of PLA in Jerusalem.

Clinical parameters	2011–2021 (n = 95)	1979–1992 (n = 31)	1967–1977 (n = 36)
Symptoms/signs
Fever> 37.6 C	77 (81.1%)	20 (65%)	34 (94%)
Vomiting	24 (25.3%)	9 (29%)	6 (6%)
Duration of symptoms (days)	5.5	6.4	96
Etiology
Amoebic abscess	1 (1.2%)	1 (3%)	15 (42%)
Pyogenic abscess	79 (98.8%)	30 (97%)	21 (58%)
Anaerobic organisms	4 (4.9%)	5 (15%)	0
Diagnosis
Noninvasive	95 (100%)	31 (100%)	21 (58%)
Surgical diagnosis	0	0	9 (25%)
Postmortem diagnosis	0	0	6 (17%)
Management
Percutaneous drainage + antibiotics	81 (87.3%)	24 (77%)	2 (5%)
Percutaneous and open drainage	2 (2.1%)	5 (16%)	0
Open drainage only	0	1 (3%)	18 (50%)
Antimicrobial treatment only	14 (14.7%)	1 (3%)	10 (28%)
Survival	91 (95.8%)	27 (87%)	25 (69%)