Can I Drain an Abscess With a Needle

Brief Summary:

The incidence of skin and soft tissue infections has increased dramatically over the final decade, in part due to increased prevalence of customs-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA). Incision and drainage (I&D) is considered the chief intervention, however some clinicians adopt ultrasound guided needle aspiration (The states Asp). The investigators performed a randomized trial comparing US Asp to I&D for uncomplicated peel and soft tissue abscesses, with a subgroup analysis of patients with CA-MRSA.

Condition or disease	Intervention/treatment	Phase
Abscess Cellulitis	Procedure: Incision and Drainage Procedure: Ultrasound Guided Aspiration	Phase iii

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Report Blazon :	Interventional  (Clinical Trial)
Actual Enrollment :	101 participants
Allocation:	Randomized
Intervention Model:	Crossover Assignment
Masking:	None (Open Label)
Primary Purpose:	Treatment
Official Title:	Ultrasound Guided Needle Drainage Versus Formal Incision and Drainage of Superficial Soft Tissue Abscesses in the Emergency Department Setting
Written report Start Appointment :	August 2008
Actual Master Completion Engagement :	November 2009
Actual Study Completion Engagement :	Dec 2009

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Arm	Intervention/treatment
Active Comparator: Incision and Drainage Abscess underwent incision and drainage	Procedure: Incision and Drainage Surgical incision of the pare surface followed by expression of purulence with or without debridement or manual exploration of abscess crenel.
Active Comparator: Ultrasound guided needle aspiration Ultrasound was used to identify the abscess location. A needle was introduced into the abscess cavity and aspiration of the contents were attempted.	Procedure: Ultrasound Guided Aspiration Ultrasound is used to identify the abscess cavity. An 18 gauge needle is introduced into the abscess crenel and manual aspiration of the abscess contents is attempted.

Chief Outcome Measures :

1. Successful drainage of abscess [ Fourth dimension Frame: 7 days ]

   Clinical outcome at vii days

   
   

Secondary Consequence Measures :

1. Successful drainage of abscess [ Fourth dimension Frame: two days ]

   Healing of abscess following drainage procedure at mean solar day 2

   
   
2. Ability to evacuate purulence from abscess [ Fourth dimension Frame: Day 1 ]

   Amount of purulence produced by drainage procedure on day one

   
   

Information from the National Library of Medicine

Choosing to participate in a study is an important personal conclusion. Talk with your medico and family members or friends near deciding to join a written report. To acquire more about this study, yous or your doctor may contact the study inquiry staff using the contacts provided below. For general data, Larn About Clinical Studies.

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Ages Eligible for Report:	xviii Years and older   (Adult, Older Adult)
Sexes Eligible for Study:	All
Accepts Good for you Volunteers:	No

Inclusion Criteria:

• presenting to emergency department with pare abscess
• abscess required surgical drainage
• healthy actualization

Exclusion Criteria:

• meaning
• unable to requite consent
• abscess located in oral cavity
• abscess located on genitalia
• abscess located intra-gluteal at coccyx

Information from the National Library of Medicine

To learn more about this report, you or your doctor may contact the study inquiry staff using the contact information provided by the sponsor.

Delight refer to this report by its ClinicalTrials.gov identifier (NCT number): NCT01085929

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Usa, Massachusetts
Beth Isreal Deaconess Medical Center
Boston, Massachusetts, U.s.a., 02215
University of Massachusetts
Worcester, Massachusetts, United States, 01655

University of Massachusetts, Worcester

Beth State of israel Deaconess Medical Centre

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Main Investigator:	Romolo Gaspari, Doc, PhD	Academy of Massachusetts, Worcester

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Responsible Party:	Romolo Gaspari, University of Massachusetts
ClinicalTrials.gov Identifier:	NCT01085929
Other Study ID Numbers:	UMass12522
First Posted:	March 12, 2010    Key Record Dates
Last Update Posted:	March 12, 2010
Terminal Verified:	March 2010

Keywords provided past University of Massachusetts, Worcester:

abscess infection ultrasound guidance incision and drainage	needle aspiration peel ultrasound

Boosted relevant MeSH terms:

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Abscess Cellulitis Surgical Wound Wounds and Injuries Suppuration	Infections Inflammation Pathologic Processes Peel Diseases, Infectious Connective Tissue Diseases

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Source: https://clinicaltrials.gov/ct2/show/NCT01085929