Treatment experience in a local population with XXXX .

@entity1 @entity1751
BACKGROUND: Treatment of @entity1751 has been studied, but treatment strategies and outcomes have not been reported for a large community-based group of @entity1 . OBJECTIVE: We sought to determine the treatments most commonly prescribed and the performance of all systemic and surgical treatments used in @entity1751 @entity1 in Olmsted County, Minnesota, treated over a 40-year period. METHODS: A retrospective chart review was performed to evaluate @entity1751 treatments in 376 episodes with 115 Olmsted County @entity1 seen by a clinician at Mayo Clinic in Rochester, Minnesota, between 1968 and 2008. Treatment episode outcomes were recorded from clinical notes for the 73 treatment episodes that had a follow-up period of more than 30 days. RESULTS: Systemic antibiotics alone were prescribed most frequently in 70.0% of episodes. Systemic antibiotics alone improved 39 of 49 treatment episodes (79.6%), including 13 episodes (26.5%) when the disease was fully cleared. All 5 of 5 episodes (100%) of surgical treatment alone improved, including 4 (80%) in which the disease was fully cleared. Surgery in combination with systemic antibiotic treatment yielded improvement in 5 episodes (71.4%), with 2 episodes (28.6%) showing complete clearance. CONCLUSION: Systemic antibiotics were the most frequently prescribed treatment type in 115 @entity1 over a 40-year period. Both systemic antibiotic therapy and surgical treatment are effective in disease management.
