Study of Wound Packing After Superficial Skin Abscess Drainage

Completed · Phase 4

Conditions studied: Abscess, Skin Diseases, Infectious, Boils, Furuncle, Carbuncle, Folliculitis, Cellulitis, Wounds

In brief

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.

Key facts

Study ID

NCT00746109

Run by

NYU Langone Health

People needed

60

Starts

2008-09-01

Expected to finish

2010-03-01

Last updated by the study team

2011-01-04

Who can join

Age: 1 and older, up to 24. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Age 1 - 24 years (i.e. any child seen in PED)
• Suspected abscess deemed to need incision \& drainage by attending physician or fellow
• Size of abscess is greater than or equal to 1cm
• Parent or patient consent, and child assent

You may not qualify if…

• Location of abscess on face, perianal, or genitals
• History of recurrent or chronic abscess
• Multiple abscesses requiring drainage at current visit
• Immunocompromised or unstable patient
• HIV, transplant recipient, immune deficiency syndrome
• immunosuppressive medications
• Wound already open/draining
• Previous participation in trial
• Patient will not be following up / managed by PES (e.g. surgical site)

Where it is running

• New York University / Bellevue Hospital Center — New York, New York, United States

Full record on ClinicalTrials.gov

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