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Adult patients presenting to the emergency department with superficial cutaneous abscesses will be randomized after incision and drainage to standard care with wound packing or no packing to determine if there is a difference in the proportion of complications between the two groups.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| No Packing | Active Comparator | No Packing |
|
| Packing | Experimental | Packing |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Packing vs No Packing | Procedure |
|
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of complications (defined as a composite of the following: need for repeat incision and drainage by physician, need for admission to hospital, or need for escalation to intravenous antibiotics) | 7 days |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of wounds "closed" at 1 week (wound size <0.5 cm length and depth and no drainage) | 7 days |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of wounds "closed" at 2 weeks (wound size <0.5 cm length and depth and no drainage) | 14 days | |
| Pain scores (daily pain scores for first week from patient diary) | 7 days | |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Amit P Shah, MD | London Health Sciences Centre | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| London Health Sciences Centre | London | Ontario | N6A 5W9 | Canada |
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| ID | Term |
|---|---|
| D000038 | Abscess |
| D000072836 | Surgical Wound |
| ID | Term |
|---|---|
| D013492 | Suppuration |
| D007239 | Infections |
| D007249 | Inflammation |
| D010335 | Pathologic Processes |
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| Amount of Pain Medication Used |
| 7 days |
| Resources Utilized | 14 days |
| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D014947 | Wounds and Injuries |