CARDIOVASCULAR JOURNAL OF AFRICA • Volume 25, No 3, May/June 2014
AFRICA
e7
percutaneous drainage to eliminate the source of infection are
strongly advised.
7
The optimal duration of postoperative antibiotic therapy
is controversial. It depends on the immune competency of
the patients, the specific bacteria involved, the location of the
infection, autogenous versus prosthetic graft, and the patient’s
response to treatment (white cell count, fever, haemodynamic
stability). Most commonly, parenteral antibiotics are administered
for two to eight weeks.
6
Although postoperative antibiotics
cannot ensure that the foci of infection are eradicated, these
patients have an improved outcome. Adjunct procedures are also
necessary to decrease the rate of persistent infection and achieve
therapeutic goals.
7
Conclusion
EVAR combined with long-term antibiotic therapy and adjunct
procedures was the ideal treatment strategy in this case. However,
the optimum duration of oral antibiotics treatment is debatable
and close follow up is necessary.
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