Comparison of Ultrasound-Guided Needle Aspiration and Open Incision and Drainage in the Management of Cutaneous Abscesses

Ottawa Hospital Research Institute1 site in 1 country20 target enrollmentJune 2009

ConditionsAbscess

Overview

Phase: Not Applicable
Intervention: Not specified
Conditions: Abscess
Sponsor: Ottawa Hospital Research Institute
Enrollment: 20
Locations: 1
Primary Endpoint: Patient satisfaction
Status: Terminated
Last Updated: 14 years ago

Overview Investigators Eligibility Criteria Outcomes Sites Similar Trials

Overview

Brief Summary

The investigators propose to conduct a, two armed, randomized, controlled pilot study to assess the clinical effects of a) open incision, drainage with daily packing changes, compared to b) Ultrasound guided needle aspiration, in drainage of uncomplicated cutaneous abscesses below the skin surface of adult emergency department patients using concealed allocation in evaluating patient satisfaction.

Registry

clinicaltrials.gov

Start Date

June 2009

End Date

March 2011

Last Updated

14 years ago

Study Type

Interventional

Study Design

Parallel

Sex

All

Investigators

Sponsor

Ottawa Hospital Research Institute

Eligibility Criteria

Inclusion Criteria

•Patients presenting to the Civic Campus emergency department of The Ottawa Hospital with an abscess less than 5 cm diameter, as judged by the attending emergency physician (measurement with tape measure for diameter) between the hours of 7 am and 10 pm will be approached for possible enrollment. Ultrasound will be used to assess the appropriate exclusion criteria.

Exclusion Criteria

•Patients under the age of 18 years,
•Patients with a Glasgow coma scale score of \<15 (i.e. not completely alert and oriented),
•Patients suspected of having necrotising fascitis,
•Patients with hemodynamic instability (defined as SBP \<90, and/or HR \>110),
•Patients admitted to hospital,
•Patients who are neither French nor English speaking,
•Patients who are not available for telephone follow-up (i.e. homeless).
•Ultrasound image demonstrates that the abscess is not compressible (generally indicates that the contents of the cyst includes solids, which would not be amenable to aspiration)
•Ultrasound demonstrates that there is no abscess to manage,
•Patients with perianal abscesses who have either Crohn's disease or ulcerative colitis or known perirectal fistula,