Randomized Control Trial Comparing Ultrasound Guided Therapeutic Transcutaneos Aspiration (USG-TCA) And Standard Incision Drainage (I&D) In Panton-Valentine Leucocidin (PVL) Toxin Producing Staphylococcus aureous Superficial Soft Tissue Abscess (SSTA) In Pediatric Patients: A Hospital Based Pilot Study

All India Institute of Medical Sciences Raipur0 个研究点目标入组 0 人开始时间: 待定最近更新: 2023年7月25日

试验速览

暂无简介。

•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.

•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.

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