Wounds Clinical Trial
Official title:
Randomized Clinical Trial of Wound Packing Following Incision and Drainage of Superficial Skin Abscesses in the Pediatric Emergency Department
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 packing material inside the abscess cavity after opening them up, in order to promote
better wound healing and limit abscess recurrence. However, this practice has never been
systematically studied or proven to decrease complications or improve healing. Patients with
wound packing usually return to the emergency room or practice setting for multiple "wound
checks" and dressing/packing changes which lead to missed days from work or school and
utilization of healthcare resources. This procedure can often be painful and may even
require conscious sedation (and the risks entailed) especially in children. With rates of
superficial skin and soft tissue abscesses on the rise, and emergency room resources being
stretched, it is important to determine whether packing wounds is necessary or even
advantageous to patients.
This study is the first to systematically evaluate the efficacy of wound packing after
superficial skin or soft tissue abscess incision and drainage in children. The investigators
will be evaluating wound healing, complications, recurrence and pain associated with packing
both short and long term. In addition, the investigators will also be evaluating the utility
of bedside point-of-care ultrasound use in predicting the presence of pus inside the abscess
cavity. This test may be useful to determine whether incision and drainage is necessary for
an individual who has a skin infection that is suspicious for an abscess.
n/a
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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