SGEM #13: Better Out than In (Simple Cutaneous Abscesses)

Ensayos extraídos del pódcast de Dr. Ken Milne

• 2010Adjusting the pH of lidocaine for reducing pain on injectionEmergency & ResuscitationIn 1067 adults and children given lidocaine injection, pH-adjusted lidocaine reduced injection pain and was preferred over unbuffered lidocaine.
• 2007Are Antibiotics Necessary After Incision and Drainage of a Cutaneous Abscess?Infection & AntimicrobialsIn 6 studies of patients with a cutaneous abscess, antibiotics after incision and drainage did not improve clinical resolution compared with drainage alone.
• 2009Routine Packing of Simple Cutaneous Abscesses Is Painful and Probably UnnecessaryEmergency & ResuscitationIn 48 ED patients with simple cutaneous abscesses, packing after incision and drainage did not reduce need for further intervention at 48 hours versus no packing.
• 2011Primary closure of cutaneous abscesses: a systematic reviewEmergency & ResuscitationIn 915 patients with incised and drained cutaneous abscesses, primary closure sped healing versus secondary closure, with similar recurrence rates.