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Higher Incidence of Pyogenic Liver Abscess in an Upper Midwest Hospital System: A 5-Year Study With Emphasis on Rural
1University of South Dakota Sanford School of Medicine.
Hepatic abscess incidence is higher in rural areas, potentially linked to private well water infrastructure. This study highlights geographic disparities in liver abscess rates.
Area of Science:
- Hepatology
- Epidemiology
- Public Health
Background:
- National incidence of hepatic abscesses is rising, necessitating investigation into risk factors.
- Understanding geographic variations in hepatic abscess rates is crucial for targeted interventions.
Purpose of the Study:
- To compare hepatic abscess incidence in rural versus metropolitan areas within a Midwest cohort.
- To explore the potential role of water infrastructure, specifically private wells, in hepatic abscess occurrence.
Main Methods:
- Retrospective chart review of adult hepatic abscess cases from 2016-2019 in South Dakota.
- Analysis of patient demographics, risk factors, and hometowns to map disease burden.
- Comparison of abscess incidence and private well density in rural and metropolitan areas.
Main Results:
- A total of 116 adult hepatic abscess cases were identified.
- The corrected incidence rate was 95.66 per 100,000 hospitalized patients annually.
- Rural areas exhibited a higher per capita incidence of hepatic abscesses and greater density of private wells.
Conclusions:
- Hepatic abscess incidence in this Midwest cohort significantly exceeded national averages.
- Geographic location, particularly rurality, appears to be a significant factor influencing abscess rates.
- Untreated groundwater from private wells in rural areas may contribute to the elevated incidence of hepatic abscesses.
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