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Pyogenic liver abscess as endemic disease, Taiwan.

Tsai FC, Huang YT, Chang LY, Wang JT - Emerging Infect. Dis. (2008)

Bottom Line: Diabetes, malignancy, renal disease, and pneumonia were associated with a higher risk for the disease.Renal disease, malignancy, pneumonia, and heart disease correlated with higher death rates; Klebsiella pneumoniae infection and therapeutic procedures were related to lower death rates.Diabetes did not significantly change death rates for the 506 patients from the hospital.

View Article: PubMed Central - PubMed

Affiliation: National Taiwan University Hospital, Taipei, Taiwan.

ABSTRACT
Pyogenic liver abscess has become a health problem in Taiwanese society. However, the extent of this problem has remained unclear because of the lack of a population-based study. We therefore performed a nationwide analysis of pyogenic liver abscess in Taiwan from 1996 through 2004. We analyzed 29,703 cases from the Taiwan National Health Insurance database and 506 cases from National Taiwan University Hospital. Our analysis showed that the annual incidence of pyogenic liver abscess increased steadily from 11.15/100,000 population in 1996 to 17.59/100,000 in 2004. Diabetes, malignancy, renal disease, and pneumonia were associated with a higher risk for the disease. By contrast, death due to pyogenic liver abscess decreased over time, although population-based abscess-related death increased slightly. Renal disease, malignancy, pneumonia, and heart disease correlated with higher death rates; Klebsiella pneumoniae infection and therapeutic procedures were related to lower death rates. Diabetes did not significantly change death rates for the 506 patients from the hospital.

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Number of new reported cases of pyogenic liver abscess recorded monthly in the National Health Insurance database, Taiwan, January 1996 through December 2004.
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Figure 1: Number of new reported cases of pyogenic liver abscess recorded monthly in the National Health Insurance database, Taiwan, January 1996 through December 2004.

Mentions: We then investigated the data over time. An average of 3,300 cases/year or 275 cases/month were reported. The number of reported cases increased from 2,400 in 1996 to 3,991 in 2004 (Table 2), with a stable increase rate of 1.44 more new cases per month (Figure 1); the decline in cases at the end of 2004 is possibly due to the incomplete recruitment of cases as described in the Methods section.


Pyogenic liver abscess as endemic disease, Taiwan.

Tsai FC, Huang YT, Chang LY, Wang JT - Emerging Infect. Dis. (2008)

Number of new reported cases of pyogenic liver abscess recorded monthly in the National Health Insurance database, Taiwan, January 1996 through December 2004.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2609891&req=5

Figure 1: Number of new reported cases of pyogenic liver abscess recorded monthly in the National Health Insurance database, Taiwan, January 1996 through December 2004.
Mentions: We then investigated the data over time. An average of 3,300 cases/year or 275 cases/month were reported. The number of reported cases increased from 2,400 in 1996 to 3,991 in 2004 (Table 2), with a stable increase rate of 1.44 more new cases per month (Figure 1); the decline in cases at the end of 2004 is possibly due to the incomplete recruitment of cases as described in the Methods section.

Bottom Line: Diabetes, malignancy, renal disease, and pneumonia were associated with a higher risk for the disease.Renal disease, malignancy, pneumonia, and heart disease correlated with higher death rates; Klebsiella pneumoniae infection and therapeutic procedures were related to lower death rates.Diabetes did not significantly change death rates for the 506 patients from the hospital.

View Article: PubMed Central - PubMed

Affiliation: National Taiwan University Hospital, Taipei, Taiwan.

ABSTRACT
Pyogenic liver abscess has become a health problem in Taiwanese society. However, the extent of this problem has remained unclear because of the lack of a population-based study. We therefore performed a nationwide analysis of pyogenic liver abscess in Taiwan from 1996 through 2004. We analyzed 29,703 cases from the Taiwan National Health Insurance database and 506 cases from National Taiwan University Hospital. Our analysis showed that the annual incidence of pyogenic liver abscess increased steadily from 11.15/100,000 population in 1996 to 17.59/100,000 in 2004. Diabetes, malignancy, renal disease, and pneumonia were associated with a higher risk for the disease. By contrast, death due to pyogenic liver abscess decreased over time, although population-based abscess-related death increased slightly. Renal disease, malignancy, pneumonia, and heart disease correlated with higher death rates; Klebsiella pneumoniae infection and therapeutic procedures were related to lower death rates. Diabetes did not significantly change death rates for the 506 patients from the hospital.

Show MeSH
Related in: MedlinePlus