{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T17:11:08Z","timestamp":1793293868196,"version":"4.5.0"},"reference-count":27,"publisher":"Public Library of Science (PLoS)","issue":"12","license":[{"start":{"date-parts":[[2024,12,16]],"date-time":"2024-12-16T00:00:00Z","timestamp":1734307200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100012166","name":"National Key R&D Program of China","doi-asserted-by":"crossref","award":["2023YFC2506000, 2023YFC2506002"],"award-info":[{"award-number":["2023YFC2506000, 2023YFC2506002"]}],"id":[{"id":"10.13039\/501100012166","id-type":"DOI","asserted-by":"crossref"}]},{"name":"National Key Research and Development Program of China","award":["2021YFC2301805"],"award-info":[{"award-number":["2021YFC2301805"]}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:p>\n                    Pyogenic liver abscess (PLA) is a serious infectious disease with high mortality. The aim of our study was to compare the efficacy of percutaneous needle aspiration (PNA) and percutaneous catheter drainage (PCD) for PLA and to assess risk factors for unfavorable prognosis. This retrospective study was performed between 2017 to 2019 in a Chinese tertiary care hospital. We compared the therapeutic effectiveness of PNA versus PCD for PLA and analyzed the risk factors of treatment failure in PLA patients using multivariate logistic regression. A total of 445 patients with PLA were enrolled. The ultrasound-guided percutaneous treatment showed good therapeutic effects on PLA, with a total primary cure rate of 90.1%. PNA appeared to have advantages over PCD, with higher success rates, lower costs, and shorter hospital stays, as well as fewer puncture-induced pain, especially in patients with abscesses of 5\u201310 cm in diameter. The presence of positive blood culture (OR: 3.32,\n                    <jats:italic>p<\/jats:italic>\n                    = 0.002), liver cirrhosis (OR: 3.31,\n                    <jats:italic>p<\/jats:italic>\n                    = 0.023), and the length of fever resolution (OR: 1.043,\n                    <jats:italic>p<\/jats:italic>\n                    = 0.001) were independent predictors of primary treatment failure. PNA is more advantageous than PCD and is worth considering as a first-line treatment.\n                  <\/jats:p>","DOI":"10.1371\/journal.pone.0315371","type":"journal-article","created":{"date-parts":[[2024,12,16]],"date-time":"2024-12-16T13:31:31Z","timestamp":1734355891000},"page":"e0315371","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":11,"title":["Management and prognostic prediction of pyogenic liver abscess in a Chinese tertiary hospital: Percutaneous needle aspiration vs catheter drainage"],"prefix":"10.1371","volume":"19","author":[{"given":"Shumeng","family":"Zhang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiaomai","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Changhong","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhengjie","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhuoling","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8806-8602","authenticated-orcid":true,"given":"Silan","family":"Gu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2024,12,16]]},"reference":[{"issue":"9","key":"pone.0315371.ref001","article-title":"Demographics, 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Yu","year":"2004","journal-title":"Hepatology"},{"issue":"2","key":"pone.0315371.ref004","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1016\/0002-9610(84)90109-0","article-title":"Experience with liver abscess","volume":"147","author":"RB Dietrick","year":"1984","journal-title":"Am J Surg"},{"issue":"3","key":"pone.0315371.ref005","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1002\/cld.1128","article-title":"Liver Abscess: Complications and Treatment.","volume":"18","author":"S Sharma","year":"2021","journal-title":"Clin Liver Dis (Hoboken)."},{"issue":"5","key":"pone.0315371.ref006","doi-asserted-by":"crossref","first-page":"1205","DOI":"10.1007\/s15010-022-01793-z","article-title":"Large retrospective study analysing predictive factors of primary treatment failure, recurrence and death in pyogenic liver abscesses","volume":"50","author":"G Rossi","year":"2022","journal-title":"Infection"},{"key":"pone.0315371.ref007","doi-asserted-by":"crossref","first-page":"38587","DOI":"10.1038\/srep38587","article-title":"A retrospective study of pyogenic liver abscess focusing on Klebsiella pneumoniae as a primary pathogen in China from 1994 to 2015.","volume":"6","author":"Y Qian","year":"2016","journal-title":"Sci Rep."},{"issue":"1","key":"pone.0315371.ref008","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1186\/s12876-018-0875-y","article-title":"A comparison of pyogenic liver abscess in patients with or without diabetes: a retrospective study of 246 cases.","volume":"18","author":"W Li","year":"2018","journal-title":"BMC Gastroenterol."},{"issue":"3","key":"pone.0315371.ref009","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1055\/s-0038-1661363","article-title":"Pyogenic Liver Abscess of Biliary Origin: The Existing Problems and Their Strategies","volume":"38","author":"SH Shi","year":"2018","journal-title":"Semin Liver Dis"},{"issue":"9","key":"pone.0315371.ref010","doi-asserted-by":"crossref","first-page":"E314","DOI":"10.1111\/j.1469-0691.2012.03912.x","article-title":"Liver abscesses in adult patients with and without diabetes mellitus: an analysis of the clinical characteristics, features of the causative pathogens, outcomes and predictors of fatality: a report based on a large population, retrospective study in China","volume":"18","author":"LT Tian","year":"2012","journal-title":"Clin Microbiol Infect"},{"issue":"9","key":"pone.0315371.ref011","doi-asserted-by":"crossref","first-page":"1194","DOI":"10.1086\/513201","article-title":"Diabetes mellitus and pyogenic liver abscess: risk and prognosis","volume":"44","author":"RW Thomsen","year":"2007","journal-title":"Clin Infect Dis"},{"issue":"9","key":"pone.0315371.ref012","doi-asserted-by":"crossref","first-page":"1039","DOI":"10.1002\/ueg2.12132","article-title":"Epidemiology of pyogenic liver abscesses in Germany: Analysis of incidence, risk factors and mortality rate based on routine data from statutory health insurance.","volume":"9","author":"L Zimmermann","year":"2021","journal-title":"United European Gastroenterol J."},{"issue":"19\u201320","key":"pone.0315371.ref013","doi-asserted-by":"crossref","first-page":"6689","DOI":"10.1007\/s00253-022-12154-z","article-title":"The evaluation of fecal microbiota transplantation vs vancomycin in a Clostridioides difficile infection model","volume":"106","author":"Q Xu","year":"2022","journal-title":"Appl Microbiol Biotechnol"},{"issue":"7516","key":"pone.0315371.ref014","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1038\/nature13568","article-title":"Alterations of the human gut microbiome in liver cirrhosis","volume":"513","author":"N Qin","year":"2014","journal-title":"Nature"},{"issue":"17","key":"pone.0315371.ref015","doi-asserted-by":"crossref","first-page":"2438","DOI":"10.12998\/wjcc.v7.i17.2438","article-title":"Risk factors, clinical features, and short-term prognosis of spontaneous fungal peritonitis in cirrhosis: A matched case-control study.","volume":"7","author":"CH Huang","year":"2019","journal-title":"World J Clin Cases"},{"issue":"11","key":"pone.0315371.ref016","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2022-251977","article-title":"Klebsiella invasive syndrome: a challenging diagnosis","volume":"15","author":"PP Bhide","year":"2022","journal-title":"BMJ Case Rep"},{"issue":"2","key":"pone.0315371.ref017","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1080\/08820538.2021.1954205","article-title":"Clinical Features and Mortality of Endogenous Panophthalmitis in China: A Six-Year Study.","volume":"37","author":"M Qi","year":"2022","journal-title":"Semin 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