Comparison of two methods of pus removal in children and the success of procedure relation with microrganisms

Phase 4

• Conditions: Health Condition 1: L029- Cutaneous abscess, furuncle and carbuncle, unspecified

• Registration Number: CTRI/2020/01/022879
• Lead Sponsor: All India Institute of Medical Sciences Raipur

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Last Update Posted: 25 July 2023

Recruitment & Eligibility

• Status: Open to Recruitment
• Sex: Not specified
• Target Recruitment: 0

Inclusion Criteria

1.Abscesses size (equal or more than 10 CC volume with freely mobile internal echoes )

2.Abscess confines to epidermis and dermis (USG reveled no deep fascia invasion)

3.USG does not reveled satellite lesions around index abscess (as high chance of recurrence may bias our results)

4.No known Immunocompromised status (viz HIV, Diabetes mellitus, End stage Renal disease, Chemotherapy, radiotherapy, chronic steroid usage).

5.No active discharge or history of discharge from surface of abscess.

Exclusion Criteria

1.Other soft tissue infections eg Papule and pustules (no aspirable pus)

2.Deep tissue infection (presence of pus below dermis, muscles )

3.Suspected cold abscess (tubercular abscess).

4.USG reveled cavity less that 10 cc.

5.USG assessment reveled resolving Abscess or thick viscous pus that cannot be aspirable.

6.Systematic features suggestive of end organ failure e. g. Multi organ dysfunction syndrome (MODS) or features of staphylococcal scalded skin syndrome (SSSY) and Toxic Shock syndromes (TSS)}.

7.Patient at the time of diagnosis has clinical or radiological features of established infective endocarditis, brain abscess, meningitis or pneumonia,and osteomylitis

8.Odontogenic abscess

9.Hydranitis suppurativa (acute on chronic skin infection in rubbing hairy skin e.g. axilla, groin)

10.Paronychia (No aspiration possible).

11.Abscess at scalp, hand and feet, neck (multiple facial compartment so high probability of incomplete aspiration)

12.Genital abscess (more probability of anaerobic and Gram negative)

13.Perianal abscess (more probability of anaerobic and Gram negative)

14.Immunocompromised states (viz HIV, Diabetes mellitus, End stage Renal disease, Chemotherapy, radiotherapy, chronic steroid usage)

15.No consent for enrolment in the study.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Cure rate of abscess in proportionsTimepoint: day 2 day 7 and 1 month

Secondary Outcome Measures

Name	Time	Method
Analgesic requirement, Hospital stay, Cosmetic appearance, Parents satisfactionTimepoint: 12 hrs 24 hrs day 2 day 7 and 1 month