RCOG World Congress 2025

Improving Clinical Management and Outcomes of Tubo-Ovarian Abscesses: A Quality Improvement Project
Dr Ayesha Ahmed, Dr Poonam Pradhan , Dr Sadia Asim, Dr Narmeen Ahsan, Dr Ushna Ahmed

MATERIALS AND METHODS

•329 imaging results were received reporting TOAB from Jan 2023 to 31st July 2023 in UHB trust .

•89 patients were filtered, who were found to have TOAB required admission in the hospital.

•The data further filtered to 35 patient who were admitted at HGS site , excluding those who were admitted at BWH site, had duplicate entries

•Also those patients were included whose reason of admission was primarily due to TOAB

AIMS AND OBJECTIVES

•Proportion of women having HVS and endocervical swabs taken

•Proportion of women receiving treatment with recommended regime

•Proportion of women receiving the medical treatment before surgical intervention

•Type of surgical intervention received

•Proportion of women followed up after treatment

RESULTS

•Proportion of women whose swabs were taken – HVS 100%, endocervical swabs- 93%

•Proportion of women receiving recommended antibiotics – 75%

•Proportion of women receiving the medical treatment before surgical intervention – 17%

•Proportion of women who had OP followup 42% and repeat imaging – 45%

•Proportion Of Women where Pus was sent for culture – 70%

RECOMMENDATIONS

•Communication to the junior doctors regarding correct doses and drug regimes to reach the target – Friday teaching was conducted on PID explaining the management

•Follow up to be booked within 4 weeks of initiating treatment of PID/ TO abscesses.

•Ensure swabs are sent for all the women with TO abscesses in the ward / GAU.

•Ensure that Pus/ fluid is sent for culture in all patients taken to theatre for drainage of abscess

RCOG World Congress 2025

Improving Clinical Management and Outcomes of Tubo-Ovarian Abscesses: A Quality Improvement Project

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