Incision and Drainage Versus Needle Aspiration in Soft Tissue Abscesses

06:16 EDT 1st November 2014 | BioPortfolio

Summary

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

Study Design

Allocation: Randomized, Control: Uncontrolled, Endpoint Classification: Efficacy Study, Intervention Model: Crossover Assignment, Masking: Open Label, Primary Purpose: Treatment

Conditions

Abscess

Intervention

Incision and Drainage, Ultrasound Guided Aspiration

Location

Beth Isreal Deaconess Medical Center
Boston
Massachusetts
United States
02215

Status

Completed

Source

University of Massachusetts, Worcester

Results (where available)

View Results

Links

Clinical Trials [606 Associated Clinical Trials listed on BioPortfolio]

Comparison of Ultrasound-Guided Needle Aspiration and Open Incision and Drainage for Cutaneous Abscesses

The investigators propose to conduct a, two armed, randomized, controlled pilot study to assess the clinical effects of a) open incision, drainage with daily packing changes, compared to b...

Ultrasound Guided Aspiration of Hydrosalpingeal Fluid and IVF-ET Outcomes

The aim of this study is to determine whether the ultrasound guided aspiration of hydrosalpingeal fluid at the time of oocyte retrieval can improve the outcomes of IVF-ET .

Prospective Trial for Endoscopic Ultrasound Guided Gallbladder Drainage for Acute Cholecystitis in High Risk Patients

The investigators would like to conduct a prospective, randomized non-inferiority study to compare clinical outcome between endoscopic ultrasound (EUS) guided gallbladder drainage and perc...

Aquacel Versus Iodoform Gauze for Filling Abscess Cavity Following Incision and Drainage

This study compares Aquacel against routine Iodoform packing for packing abscess cavities after incision and drainage. It is hypothesized that Aquacel will produce speedier healing of the ...

Study of Wound Packing After Superficial Skin Abscess Drainage

Superficial skin and soft tissue abscess are frequently managed by opening them up with a procedure called "incision and drainage". It is routine practice in the United States to place pa...

PubMed Articles [4077 Associated PubMed Articles listed on BioPortfolio]

Outcome of percutaneous continuous drainage of psoas abscess: A clinically guided technique.

Percutaneous aspiration of abscesses under ultrasonography (USG) and computer tomography (CT) scan has been well described. With recurrence rate reported as high as 66%. The open drainage and percutan...

Endoscopic ultrasound-guided hepatic and perihepatic abscess drainage: an evolving technique.

Interventional radiology-guided percutaneous drainage of liver abscesses with concomitant use of antibiotics has been the conventional approach for the treatment of liver abscesses. Hepatic abscesses ...

Endoscopic ultrasound-guided pelvic and prostatic abscess drainage: Experience in 30 patients.

Endoscopic ultrasound (EUS)-guided drainage is an effective treatment for many abscesses in the abdomen. We review our experience with EUS-guided drainage of pelvic abscesses.

Endoscopic ultrasound-guided biliary drainage: a review.

Endoscopic retrograde cholangiography (ERCP) is widely used as a first-line therapy for biliary drainage. ERCP occasionally fails owing to anatomical or technical problems, despite high reported succe...

Endoscopic ultrasound-guided fine needle aspiration and endoscopic biliary drainage following closure of a duodenal perforation with an over-the-scope clip.

Medical and Biotech [MESH] Definitions

The use of ultrasound to guide minimally invasive surgical procedures such as needle ASPIRATION BIOPSY; DRAINAGE; etc. Its widest application is intravascular ultrasound imaging but it is useful also in urology and intra-abdominal conditions.

The collecting of fetal blood samples via ultrasound-guided needle aspiration of the blood in the umbilical vein.

A type of lung inflammation resulting from the aspiration of food, liquid, or gastric contents into the upper RESPIRATORY TRACT.

A rehabilitation therapy for removal of copious mucus secretion from the lung of patients with diseases such as CHRONIC BRONCHITIS; BRONCHIECTASIS; PULMONARY ABSCESS; or CYSTIC FIBROSIS. The patient's head is placed in a downward incline (so the TRACHEA is inferior to the affected area) for 15- to 20-minute sessions.

Breathing in liquid or solids, such as stomach contents, into the RESPIRATORY TRACT. When this causes severe lung damage, it is called ASPIRATION PNEUMONIA.

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