Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| Beth Israel Deaconess Medical Center | OTHER |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
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.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Incision and Drainage | Active Comparator | Abscess underwent incision and drainage |
|
| Ultrasound guided needle aspiration | Active Comparator | Ultrasound was used to identify the abscess location. A needle was introduced into the abscess cavity and aspiration of the contents were attempted. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Incision and Drainage | Procedure | Surgical incision of the skin surface followed by expression of purulence with or without debridement or manual exploration of abscess cavity. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Successful drainage of abscess | Clinical outcome at 7 days | 7 days |
| Measure | Description | Time Frame |
|---|---|---|
| Successful drainage of abscess | Healing of abscess following drainage procedure at day 2 | 2 days |
| Ability to evacuate purulence from abscess | Amount of purulence produced by drainage procedure on day 1 |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Romolo Gaspari, MD, PhD | University of Massachusetts, Worcester | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beth Isreal Deaconess Medical Center | Boston | Massachusetts | 02215 | United States | ||
| University of Massachusetts |
Not provided
| ID | Term |
|---|---|
| D000038 | Abscess |
| D002481 | Cellulitis |
| D007239 | Infections |
| D000072836 | Surgical Wound |
| ID | Term |
|---|---|
| D013492 | Suppuration |
| D007249 | Inflammation |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
Not provided
Not provided
| ID | Term |
|---|---|
| D004322 | Drainage |
| D061765 | Endoscopic Ultrasound-Guided Fine Needle Aspiration |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
| D013514 | Surgical Procedures, Operative |
| D044963 | Biopsy, Fine-Needle |
| D001707 | Biopsy, Needle |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Ultrasound Guided Aspiration | Procedure | Ultrasound is used to identify the abscess cavity. An 18 gauge needle is introduced into the abscess cavity and manual aspiration of the abscess contents is attempted. |
|
| Day 1 |
| Worcester |
| Massachusetts |
| 01655 |
| United States |
| D012874 | Skin Diseases, Infectious |
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D014947 | Wounds and Injuries |
| D001706 |
| Biopsy |
| D003581 | Cytodiagnosis |
| D003584 | Cytological Techniques |
| D019411 | Clinical Laboratory Techniques |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D061705 | Image-Guided Biopsy |
| D013048 | Specimen Handling |
| D018084 | Ultrasonography, Interventional |
| D014463 | Ultrasonography |
| D003952 | Diagnostic Imaging |
| D003949 | Diagnostic Techniques, Surgical |
| D019060 | Minimally Invasive Surgical Procedures |
| D008919 | Investigative Techniques |