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A Randomized Blinded Trial of Abscess Management With Packing vs No Packing

Not Applicable
Withdrawn
Conditions
Uncomplicated Cutaneous Abscess
Interventions
Procedure: Packing vs No Packing
Registration Number
NCT01698996
Lead Sponsor
Lawson Health Research Institute
Brief Summary

Adult patients presenting to the emergency department with superficial cutaneous abscesses will be randomized after incision and drainage to standard care with wound packing or no packing to determine if there is a difference in the proportion of complications between the two groups.

Detailed Description

Not available

Recruitment & Eligibility

Status
WITHDRAWN
Sex
All
Target Recruitment
Not specified
Inclusion Criteria
  • ≥ 18 years
  • Abscess ≤ 5cm in diameter
  • Truncal or extremity location
Exclusion Criteria
  • Post-operative abscess (abscess in location of operative incision, operation within the last 4 months)
  • HIV/immunocompromised/transplant recipient/chronic oral steroid use
  • Fever at triage (temp ≥38 degrees Celsius)
  • Abscess secondary to Crohn's
  • Multiple abscesses requiring drainage
  • Prior participation in the study for the same abscess
  • Incision and drainage performed with no packing required, or where abscess cavity is <1 cm max diameter
  • Bartholins/perigenital, perianal, or facial abscesses
  • Complicated abscesses (fistula, suspicion of muscular extension, consultation/direct referral to general surgery)
  • Inability to give consent

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
No PackingPacking vs No PackingNo Packing
PackingPacking vs No PackingPacking
Primary Outcome Measures
NameTimeMethod
Proportion of complications (defined as a composite of the following: need for repeat incision and drainage by physician, need for admission to hospital, or need for escalation to intravenous antibiotics)7 days
Secondary Outcome Measures
NameTimeMethod
Proportion of wounds "closed" at 1 week (wound size <0.5 cm length and depth and no drainage)7 days

Trial Locations

Locations (1)

London Health Sciences Centre

🇨🇦

London, Ontario, Canada

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