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Abscess Incision and Drainage.

Jaime K Bowman1

  • 1Department of Medical Education and Clinical Sciences, Washington State University, 412 East Spokane Falls Boulevard, Spokane, WA 99202-1495, USA.

Primary Care
|February 7, 2022
PubMed
Summary
This summary is machine-generated.

Simple abscesses are typically managed with incision and drainage in an office setting. Antibiotics and wound cultures do not improve healing, but packing larger wounds may reduce recurrence.

Keywords:
HidradenitisIncision and drainagePerianal abscessTissue abscess

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Area of Science:

  • Dermatology
  • Infectious Diseases
  • Surgical Procedures

Background:

  • Abscesses are localized collections of pus from an infection.
  • Simple abscesses are common and often treatable in outpatient settings.

Purpose of the Study:

  • To review the management of simple abscesses.
  • To determine the efficacy of various treatment modalities.

Main Methods:

  • Clinical diagnosis of simple abscesses.
  • Incision and drainage as primary treatment.
  • Evaluation of wound culture, antibiotic use, and wound packing.

Main Results:

  • Most simple abscesses are diagnosed clinically.
  • Incision and drainage is a safe and effective ambulatory management.
  • Wound culture and antibiotics do not enhance healing outcomes.
  • Packing wounds >5 cm may decrease recurrence and complications.

Conclusions:

  • Simple abscesses can be effectively managed with incision and drainage in an office setting.
  • Routine antibiotic use and wound cultures are not indicated for simple abscesses.
  • Wound packing for larger abscesses may be beneficial for preventing recurrence.