Objective. Although parenteral antibiotic treatment is a standard approach for tuboovarian abscesses, a significant proportion of\npatients fail therapy and require interventional radiology (IR) guided drainage. The objective of this study is to assess if specific\nclinical factors are associated with antibiotic treatment failure. Study Design. Retrospective medical record review of patients\nhospitalized for tuboovarian abscesses from 2001 through 2012 was performed. Clinical characteristics were compared for patients\nwho underwent successful parenteral antibiotic treatment, failed antibiotic treatment necessitating subsequent IR drainage, initial\ndrainage with concurrent antibiotics, and surgery. Results. One hundred thirteen patients admitted for inpatient treatment were\nidentified. Sixty-one (54%) patients were treated with antibiotics alone. Within this group, 24.6% failed antibiotic treatment and\nrequired drainage. Mean white blood cell count (K/
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