Abscess: Difference between revisions
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==Treatment== | ==Treatment== | ||
A [[systematic review]] of relevant studies concluded that<ref name="pmid17577944">{{cite journal |author=Hankin A, Everett WW |title=Are antibiotics necessary after incision and drainage of a cutaneous abscess? |journal=Annals of emergency medicine |volume=50 |issue=1 |pages=49-51 |year=2007 |pmid=17577944 |doi=10.1016/j.annemergmed.2007.01.018 }} PMID 17577944</ref>: | ===Incision and drainage=== | ||
The abscess should be treated with incision and drainage followed by loose packing.<ref name="pmid322789">{{cite journal |author=Macfie J, Harvey J |title=The treatment of acute superficial abscesses: a prospective clinical trial |journal=The British journal of surgery |volume=64 |issue=4 |pages=264-6 |year=1977 |pmid=322789 |doi=}}</ref> | |||
===Antibiotics=== | |||
Antibiotics should be considered if there is significant overlying cellulitis. A [[systematic review]] of relevant studies concluded that<ref name="pmid17577944">{{cite journal |author=Hankin A, Everett WW |title=Are antibiotics necessary after incision and drainage of a cutaneous abscess? |journal=Annals of emergency medicine |volume=50 |issue=1 |pages=49-51 |year=2007 |pmid=17577944 |doi=10.1016/j.annemergmed.2007.01.018 }} PMID 17577944</ref>: | |||
:"the current literature does not support the routine practice of prescribing antibiotics after incision and drainage of simple cutaneous abscesses, even in high-MRSA-prevalence areas" | :"the current literature does not support the routine practice of prescribing antibiotics after incision and drainage of simple cutaneous abscesses, even in high-MRSA-prevalence areas" | ||
:"our conclusions cannot be extrapolated to those cases in which there is a significant degree of overlying cellulitis" | :"our conclusions cannot be extrapolated to those cases in which there is a significant degree of overlying cellulitis" | ||
Revision as of 10:33, 20 July 2007
Treatment
Incision and drainage
The abscess should be treated with incision and drainage followed by loose packing.[1]
Antibiotics
Antibiotics should be considered if there is significant overlying cellulitis. A systematic review of relevant studies concluded that[2]:
- "the current literature does not support the routine practice of prescribing antibiotics after incision and drainage of simple cutaneous abscesses, even in high-MRSA-prevalence areas"
- "our conclusions cannot be extrapolated to those cases in which there is a significant degree of overlying cellulitis"
References
- ↑ Macfie J, Harvey J (1977). "The treatment of acute superficial abscesses: a prospective clinical trial". The British journal of surgery 64 (4): 264-6. PMID 322789. [e]
- ↑ Hankin A, Everett WW (2007). "Are antibiotics necessary after incision and drainage of a cutaneous abscess?". Annals of emergency medicine 50 (1): 49-51. DOI:10.1016/j.annemergmed.2007.01.018. PMID 17577944. Research Blogging. PMID 17577944