Breast Abscess
Conditions
Brief summary
Breast abscesses are an unfortunate pathology that develop in patients, and treatment is often painful and unpleasant. The goal of this study is to identify risk factors associated with failure of aspiration as a primary intervention as opposed to incision and drainage in the hopes of adequately treating patients at initial presentation.
Detailed description
The pendulum has now swung toward minimally invasive aspiration as the primary treatment modality, with multiple studies reporting superior cosmetic results. However, patients in these studies often required repeat breast aspirations, and sometimes ultimately required incision and drainage. Aspiration first for treatment of breast abscess may not be a wise choice for all patients if it results in increased antibiotic days, return to emergency department (ED)/increased cost, or prolonged pain from multiple procedures. Several studies have identified varying risk factors for aspiration failure as primary intervention for breast abscesses. More data is needed to confirm the true risk factors for failure.
Interventions
None listed
Sponsors
Methodist Health System
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* • ≥18 years of age * New diagnosis of N61.1 recorded in their Electronic Medical Record (EMR)
Exclusion criteria
* • \<18 years of age * Pregnant * Incarcerated
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of repeat interventions prior to resolution of abscess(s) | 5 years | Determine the superiority of aspiration vs incision as primary intervention in treatment of breast abscesses |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Antibiotic days | 5 years | number of days used antibiotics |
| Repeat aspiration | 5 years | Frequency of aspiration |
| Return to Emergency Department ( ED) | 5 years | Number of times of ED visit |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORConner McDaniel, MD
Methodist Midlothian Medical Center
Outcome results
None listed