Comparative Study of Drainage and Antibiotics versus Drainage Only in the Management of Primary Subcutaneous Abscesses
| Autor: | Luis Solis Anaya, Karime Rodriguez, Jose G Nuñez, Julio Alfonso Piña López, Gilberto Guzmán Valdivia Gómez, Julio Dávila |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male 0301 basic medicine Microbiology (medical) medicine.medical_specialty medicine.drug_class 030106 microbiology Antibiotics Routine practice Young Adult 03 medical and health sciences 0302 clinical medicine Humans Medicine 030212 general & internal medicine Drainage Intensive care medicine Aged Aged 80 and over business.industry Soft Tissue Infections Soft tissue Middle Aged Abscess humanities Anti-Bacterial Agents Treatment Outcome Infectious Diseases Antibiotic Agents Female Surgery business |
| Zdroj: | Surgical Infections. 19:345-351 |
| ISSN: | 1557-8674 1096-2964 |
| Popis: | Skin and soft tissue infections are common problems dealt with in emergency departments and medical offices. It is routine practice to prescribe antibiotic agents after incision and drainage of cutaneous abscesses. However, current evidence does not support prescribing oral antibiotic agents after surgical debridement. The aim of the present study was to determine the actual role of antibiotic agents after drainage of cutaneous abscesses.This was a prospective study of patients undergoing incision and drainage (ID) of a subcutaneous abscess. Patients were randomly assigned either to receive antibiotic agents (group 1) or placebo (group 2) after ID. The primary end point was resolution rate of the abscess at the seventh day. Secondary end points were pain at the seventh day and total time to full healing of the wound. P value0.05 was considered statistically significant.One hundred sixty-five patients were included for analysis. Age, gender, body mass index (BMI), and comorbidities did not differ substantially between groups. Chest and peri-anal abscesses were statistically more frequent in group 2, whereas neck abscesses were more frequent in group 1 (p = 0.02). Leukocyte count was also statistically higher in group 1 (p = 0.005). Resolution rate was 96% in group 1 and 93% in group 2, with no statistical difference between both (p = 0.28). Neither pain at seventh day nor time to full healing differed statistically between groups.Antibiotic agents are not necessary for uncomplicated subcutaneous abscesses after ID. These cases can be managed safely on an outpatient basis without any increase in morbidity. |
| Databáze: | OpenAIRE |
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