Is Routine Irrigation of Cutaneous Abscesses Necessary?
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 201
- 试验地点
- 1
- 主要终点
- Patients needing further treatment after irrigation for I&D
研究概览
简要总结
In this study, the investigators are trying to find out if washing out the abscess (pocket of pus) with fluid will help, instead of only taking out the pus. Your care will be the same as usual, except that you will be selected randomly to have your abscess washed out with fluid, or not.
详细描述
Irrigation of the abscess cavity is commonly described as part of the procedure of incision and drainage of cutaneous abscesses (1-4). Despite this, there are no randomized controlled trials that demonstrate the benefit of irrigation in treatment of these abscesses. Potential disadvantages of irrigation include increased procedural time, pain, increased cost with sterile irrigation solutions and materials to capture the irrigation effluent, and increased risk of microbiologic contamination of the surrounding area. The goal of this study is to examine patients undergoing incision and drainage of cutaneous abscesses to determine if irrigation of the abscess cavity affects the need for further interventions.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Diagnostic
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All patients 18 years of age and above
- •Patients that require a cutaneous abscess incision and drainage
排除标准
- •Unable to return for 48-hour followup.
- •Patients being admitted to the hospital or going to the operating room for incision and drainage
- •Pregnant patients
研究组 & 干预措施
Irrigation
THE PATIENT IS TO HAVE IRRIGATION OF THE ABSCESS WITH NORMAL SALINE AS PART OF THE I&D PROCEDURE
干预措施: Irrigation (Procedure)
No Irrigation
THE PATIENT IS NOT TO HAVE IRRIGATION OF THE ABSCESS AS PART OF THE I&D PROCEDURE
干预措施: No Irrigation (Other)
结局指标
主要结局
Patients needing further treatment after irrigation for I&D
时间窗: 7 day phone follow-up
Percentage of patients needing further treatment i. Further treatment defined as 1. Repeat I\&D 2. Addition of an antibiotic (as new or to a pre-existing antibiotic) 3. Admission to hospital for cutaneous abscess-related problem 1. Abscess 2. Cellulitis 3. Septic arthritis 4. Sepsis
次要结局
- VAS is correlated with decreased pain after I&D(two years)
研究者
Brian Chinnock
Associate Clinical Professor of Emergency Medicine, Director of Coding/Reimbursement
University of California, San Francisco