The loop technique: a novel incision and drainage technique in the treatment of skin abscesses in a pediatric ED - 25/02/15
Abstract |
Objective |
This study assesses outcome in pediatric patients with skin abscess using the LOOP compared to the standard incision and drainage (I&D) with packing method.
Methods |
This retrospective study used ICD-9 codes to identify pediatric patients aged 0 to 17 years with a skin abscess presenting to a level I pediatric trauma emergency department (ED). Patients requiring surgical debridement were excluded; as were patients with abscesses on the face, scalp, hands or feet. The primary outcome was failure rate, defined as those requiring admission, intravenous antibiotics, or repeat drainage.
Results |
Over a 1-year period there were 233 pediatric abscesses identified: 79 cases (34%) treated with the LOOP technique and 154 cases with standard I&D (66%). The overall mean age of patients was 6.2 yrs: children in the LOOP group were younger than those in the standard group, 4.4 vs 7.1 years respectively (P = .001). Abscess location also differed between the two groups; however they had a similar gender distribution and mean temperature. Of the cases identified by chart review, clinical outcome could be assessed in 143 patients (61%): 52 (36%) patients with LOOP vs 91 (64%) with I&D. Failure rate was 1.4% in the LOOP group and 10.5% in the standard I&D (P < .030).
Conclusion |
There was a significant difference in failure rate between the LOOP and the standard I&D groups. A prospective randomized trial is needed to confirm these results, but this novel technique shows promise as an alternative to I&D with packing in the management of skin abscesses in pediatric ED patients.
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☆ | Grant Support: None. |
☆☆ | Author Disclosure Statement: None. |
★ | Abstract presented at the American College of Emergency Physicians Annual Scientific Assembly in Chicago Illinois, October 2008. |
Vol 33 - N° 2
P. 271-276 - février 2015 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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