{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T18:27:24Z","timestamp":1789583244844,"version":"build-2803163510"},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,5,10]],"date-time":"2024-05-10T00:00:00Z","timestamp":1715299200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,5,10]],"date-time":"2024-05-10T00:00:00Z","timestamp":1715299200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100014717","name":"National Outstanding Youth Science Fund Project of National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82200686"],"award-info":[{"award-number":["82200686"]}],"id":[{"id":"10.13039\/100014717","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Shaanxi Provincial People's Hospital Incubation Project","award":["2022YJY-14"],"award-info":[{"award-number":["2022YJY-14"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Infect Dis"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background &amp; aims<\/jats:title>\n                <jats:p>Pyogenic liver abscess (PLA) is a common hepatobiliary infection that has been shown to have an increasing incidence, with biliary surgery being identified as a trigger. Our aim was to investigate the clinical characteristics and treatments of PLA patients with and without a history of biliary surgery (BS).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>The study included a total of 353 patients with PLA who received treatment at our hospital between January 2014 and February 2023. These patients were categorized into two groups: the BS group (<jats:italic>n<\/jats:italic>\u2009=\u200991) and the non-BS group (<jats:italic>n<\/jats:italic>\u2009=\u2009262). In the BS group, according to the anastomosis method, they were further divided into bilioenteric anastomoses group (BEA, <jats:italic>n<\/jats:italic>\u2009=\u200922) and non-bilioenteric anastomoses group (non-BEA, <jats:italic>n<\/jats:italic>\u2009=\u200969). Clinical characteristics were recorded and analyzed.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The percentage of PLA patients with BS history was 25.78%. The BS group exhibited elevated levels of TBIL and activated APTT abnormalities (<jats:italic>P<\/jats:italic>\u2009=\u20090.009 and <jats:italic>P<\/jats:italic>\u2009=\u20090.041, respectively). Within the BS group, the BEA subgroup had a higher prevalence of diabetes mellitus (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) and solitary abscesses (<jats:italic>P<\/jats:italic>\u2009=\u20090.008) compared to the non-BEA subgroup. <jats:italic>Escherichia coli<\/jats:italic> was more frequently detected in the BS group, as evidenced by positive <jats:italic>pus<\/jats:italic> cultures (<jats:italic>P<\/jats:italic>\u2009=\u20090.021). The BS group exhibited reduced treatment efficacy compared to those non-BS history (<jats:italic>P<\/jats:italic>\u2009=\u20090.020). Intriguingly, the BS group received a higher proportion of conservative treatment (45.05% vs. 21.76%), along with reduced utilization of surgical drainage (6.59% vs. 16.41%).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Patients with BS history, especially those who have undergone BEA, have an increased susceptibility to PLA formation without affecting prognosis.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12879-024-09378-x","type":"journal-article","created":{"date-parts":[[2024,5,10]],"date-time":"2024-05-10T06:03:16Z","timestamp":1715320996000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Clinical characteristics of pyogenic liver abscess with and without biliary surgery history: a retrospective single-center experience"],"prefix":"10.1186","volume":"24","author":[{"given":"Yuxin","family":"Lin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yifan","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weiyin","family":"Lu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rongqian","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhaoqing","family":"Du","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,5,10]]},"reference":[{"key":"9378_CR1","doi-asserted-by":"crossref","unstructured":"Rahimian J, Wilson T, Oram V, Holzman RS. Pyogenic liver abscess: recent trends in etiology and mortality. Clin Infect Dis. 2004;39(11):1654\u20131659.","DOI":"10.1086\/425616"},{"key":"9378_CR2","doi-asserted-by":"publisher","first-page":"1316","DOI":"10.1016\/j.surg.2015.11.012","volume":"159","author":"SH Shi","year":"2016","unstructured":"Shi SH, Xia WL, Guo HJ, Kong HS, Zheng SS. Unique characteristics of pyogenic liver abscesses of biliary origin. Surgery. 2016;159:1316\u201324.","journal-title":"Surgery"},{"key":"9378_CR3","doi-asserted-by":"publisher","first-page":"1209","DOI":"10.1111\/j.1572-0241.2007.01140.x","volume":"102","author":"T Serste","year":"2007","unstructured":"Serste T, Bourgeois N, Eynden FV, Coppens E, Deviere J, Le Moine O. Endoscopic drainage of pyogenic liver abscesses with suspected biliary origin. Am J Gastroenterol. 2007;102:1209\u201315.","journal-title":"Am J Gastroenterol"},{"key":"9378_CR4","doi-asserted-by":"crossref","unstructured":"Montvuagnard T, Thomson V, Durieux M, et al. Superinfection of focal liver lesions after bile duct procedures. Diagn Interv Imaging. 2012;93(3):e191\u20135.","DOI":"10.1016\/j.diii.2012.01.001"},{"key":"9378_CR5","doi-asserted-by":"publisher","first-page":"545","DOI":"10.1016\/j.jvir.2011.12.025","volume":"23","author":"R Hoffmann","year":"2012","unstructured":"Hoffmann R, Rempp H, Schmidt D, Pereira PL, Claussen CD, Clasen S. Prolonged antibiotic prophylaxis in patients with bilioenteric anastomosis undergoing percutaneous radiofrequency ablation. J Vasc Interv Radiol. 2012;23:545\u201351.","journal-title":"J Vasc Interv Radiol"},{"key":"9378_CR6","doi-asserted-by":"publisher","first-page":"583","DOI":"10.1016\/j.hpb.2017.12.005","volume":"20","author":"ME Czerwonko","year":"2018","unstructured":"Czerwonko ME, Huespe P, Elizondo CM, et al. Risk factors and outcomes of pyogenic liver abscess in adult liver recipients: a matched case-control study. 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Due to the retrospective nature of the study, the review board of Shaanxi Provincial People\u2019s hospital waived the need of obtaining informed consent.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not Applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"479"}}