A Randomized Blinded Trial of Abscess Management With Packing vs No Packing
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 试验地点
- 2
- 主要终点
- 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)
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Treatment
- 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
- •≥ 18 years
- •Abscess ≤ 5cm in diameter
- •Truncal or extremity location
排除标准
- •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
研究组 & 干预措施
No Packing
No Packing
干预措施: Packing vs No Packing (Procedure)
Packing
Packing
干预措施: Packing vs No Packing (Procedure)
结局指标
主要结局
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)
时间窗: 7 days
次要结局
- Proportion of wounds "closed" at 1 week (wound size <0.5 cm length and depth and no drainage)(7 days)
研究者
Amit Shah
Principal Investigator
London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's
