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Abscesses or "boils" are becoming more common every year and are a common reason children come to the Emergency Department. For the abscess to heal the skin needs to be opened to let the pus come out. Often doctors put something called "packing material" or gauze into the abscess space to help aid in healing. It is not known if the type of "packing" that is done is necessary or if a more simple treatment is as good or better. With informed consent we randomly place a child into one (1) of two (2) groups in this study that will say if the child's abscess/boil is packed with gauze in the traditional way or if a wick (small piece) of gauze is placed after the abscess/boil is opened and the fluid is drained. After treatment in the emergency department the child will be scheduled to follow-up in the Pediatric Acute Wound Service (PAWS) clinic as all other children with this infection are scheduled. At this visit the healing of the wound will be checked by the staff in the clinic and will be scored. With this evaluation of the wound the hypothesis that for a simple superficial (skin) abscess/boil a gauze wick placement into the abscess/boil is as effective as placement of traditional gauze packing.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Wick placement into abscess cavity | Experimental |
| |
| Full packing of abscess cavity | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Full packing into abscess cavity | Procedure | After incision and drainage plain 1/4-1/2 inch gauze packing material is placed into the cavity to fill it |
|
| Measure | Description | Time Frame |
|---|---|---|
| Abscess healing based upon clinical criteria and clinical judgement | Abscesses are assessed for pus accumulation, erythema from the wound, if the patient has a fever and the overall clinical judgment of the evaluating health care professional at the time of follow-up. | 24-72 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Pain since abscess drainage | 24-72 hours | |
| Parent/guardian comfort with removing the packing material or wick from the abscess cavity | 24-72 hours | |
| Parent/guardian assessment of the abscess wound at 2 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| St. Louis Children's Hospital | St Louis | Missouri | 63110 | United States |
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| ID | Term |
|---|---|
| D000072836 | Surgical Wound |
| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
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| Wick placement into abscess cavity | Procedure | After incision and drainage of the abscess a piece of plain gauze 1/4-1 inch packing material that is as wide as can be easily passed through the opening is placed into the cavity spanning one diameter of the cavity |
|
| 2 weeks |
| Parent/guardian assessment of pus drainage at 2 weeks | 2 weeks |
| Need for further treatment of same abscess within 2 weeks | 2 weeks |