Health Condition 1: L029- Cutaneous abscess, furuncle and carbuncle, unspecified
Conditions
Interventions
Intervention1: Ultrasonography guided Transcutaneous aspiration: Patients randomize to USG guided needle aspiration will undergo needle drainage of the abscess cavity with high resolution ultrasonogra
Sponsors
All India Institute of Medical Sciences Raipur
Eligibility
Inclusion criteria
Inclusion criteria: 1.Abscesses size (equal or more than 10 CC volume with freely mobile internal echoes ) 2.Abscess confines to epidermis and dermis (USG reveled no deep fascia invasion) 3.USG does not reveled satellite lesions around index abscess (as high chance of recurrence may bias our results) 4.No known Immunocompromised status (viz HIV, Diabetes mellitus, End stage Renal disease, Chemotherapy, radiotherapy, chronic steroid usage). 5.No active discharge or history of discharge from surface of abscess.
Exclusion criteria
Exclusion criteria: 1.Other soft tissue infections eg Papule and pustules (no aspirable pus) 2.Deep tissue infection (presence of pus below dermis, muscles ) 3.Suspected cold abscess (tubercular abscess). 4.USG reveled cavity less that 10 cc. 5.USG assessment reveled resolving Abscess or thick viscous pus that cannot be aspirable. 6.Systematic features suggestive of end organ failure e. g. Multi organ dysfunction syndrome (MODS) or features of staphylococcal scalded skin syndrome (SSSY) and Toxic Shock syndromes (TSS)}. 7.Patient at the time of diagnosis has clinical or radiological features of established infective endocarditis, brain abscess, meningitis or pneumonia,and osteomylitis 8.Odontogenic abscess 9.Hydranitis suppurativa (acute on chronic skin infection in rubbing hairy skin e.g. axilla, groin) 10.Paronychia (No aspiration possible). 11.Abscess at scalp, hand and feet, neck (multiple facial compartment so high probability of incomplete aspiration) 12.Genital abscess (more probability of anaerobic and Gram negative) 13.Perianal abscess (more probability of anaerobic and Gram negative) 14.Immunocompromised states (viz HIV, Diabetes mellitus, End stage Renal disease, Chemotherapy, radiotherapy, chronic steroid usage) 15.No consent for enrolment in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cure rate of abscess in proportionsTimepoint: day 2 day 7 and 1 month | — |
Secondary
| Measure | Time frame |
|---|---|
| Analgesic requirement, Hospital stay, Cosmetic appearance, Parents satisfactionTimepoint: 12 hrs 24 hrs day 2 day 7 and 1 month | — |
Countries
India
Contacts
Public ContactAtul Jindal
All India Institute of Medical Sciences Raipur
Outcome results
None listed