Fouks et al reported a simple score for evaluating a woman with a tubo-ovarian abscess. The authors are from Sourasky Medical Center and Tel Aviv University in Israel.
Patient selection: tubo-ovarian abscess
Parameters:
(1) age in years
(2) largest diameter in mm
(3) unilateral vs bilateral
(4) mean WBC count per microliter
Parameter
Finding
Points
age in years
<= 35 years
0
> 35 years
1
largest diameter
< 70 mm
0
>= 70 mm
2
unilateral vs bilateral
unilateral
0
bilateral
1
mean WBC count
<= 16,000 per µL
0
> 16,000 per µL
1
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 5
• The rate of failure with antibiotic therapy and the need for surgery increases as the score increases.
Total Score
Risk Group
Calculated Risk for Surgical Intervention
0
A
20%
1 or 2
B
45%
3 or 4
C
78%
5
D
92%
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