Abscess Packing Versus Wick Placement After Incision and Drainage
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 156
- 试验地点
- 2
- 主要终点
- Abscess healing based upon clinical criteria and clinical judgement
研究概览
简要总结
Abscesses or "boils" are becoming more common every year and are a common reason children come to the Emergency Department. For the abscess to heal the skin needs to be opened to let the pus come out. Often doctors put something called "packing material" or gauze into the abscess space to help aid in healing. It is not known if the type of "packing" that is done is necessary or if a more simple treatment is as good or better. With informed consent we randomly place a child into one (1) of two (2) groups in this study that will say if the child's abscess/boil is packed with gauze in the traditional way or if a wick (small piece) of gauze is placed after the abscess/boil is opened and the fluid is drained. After treatment in the emergency department the child will be scheduled to follow-up in the Pediatric Acute Wound Service (PAWS) clinic as all other children with this infection are scheduled. At this visit the healing of the wound will be checked by the staff in the clinic and will be scored. With this evaluation of the wound the hypothesis that for a simple superficial (skin) abscess/boil a gauze wick placement into the abscess/boil is as effective as placement of traditional gauze packing.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Care Provider, Outcomes Assessor)
入排标准
- 年龄范围
- 6 Months 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Well appearing patient
- •Abscesses restricted to the superficial areas of the extremities, buttocks, abdominal and thoracic walls, and back
- •Patients presenting Saturday-Wednesday
排除标准
- •Fever >38 degrees celsius
- •Ill appearing patient
- •Underlying immunodeficiency or disorder leading to chronic abscess formation
- •Any reason for admission to hospital beyond the need for sedation at the time of follow-up
- •Thursday-Friday
研究组 & 干预措施
Wick placement into abscess cavity
干预措施: Wick placement into abscess cavity (Procedure)
Full packing of abscess cavity
干预措施: Full packing into abscess cavity (Procedure)
结局指标
主要结局
Abscess healing based upon clinical criteria and clinical judgement
时间窗: 24-72 hours
Abscesses are assessed for pus accumulation, erythema from the wound, if the patient has a fever and the overall clinical judgment of the evaluating health care professional at the time of follow-up.
次要结局
- Parent/guardian comfort with removing the packing material or wick from the abscess cavity(24-72 hours)
- Parent/guardian assessment of the abscess wound at 2 weeks(2 weeks)
- Need for further treatment of same abscess within 2 weeks(2 weeks)
- Pain since abscess drainage(24-72 hours)
- Parent/guardian assessment of pus drainage at 2 weeks(2 weeks)