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Tag: Abscess

Abscess Management: The Reformation of an Antibiotic Nihilist

Abscess management has evolved somewhat in the 14 years since my residency graduation. The point at which antibiotics are likely to be more helpful than harmful is not always easy to assess, and evidence based expert opinion has flip flopped …

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Infectious Disease

Utility of Antibiotics in Abscess Management – Systematic Review and Meta-Analysis

Background:¬†Skin and soft tissue abscesses are a common emergency department (ED) presentation. The approach to management has changed little in recent decades: incision and drainage (I+D) and then discharge home with follow up. However, increasing rates of methicillin-resistant staph aureus …

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Infectious Disease

Is It Necessary to Irrigate Abscesses After I&D?

Background: Irrigation after incision and drainage (I&D) of an abscess in the ED is considered by some sources to be standard care but local practice varies considerably. There are no randomized controlled trials to date that look at the potential …

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Infectious Disease

Trimethoprim-Sulfamethoxazole for Uncomplicated Skin Abscesses?

Background: It is well documented that the number of visits to the ED for abscesses is on the rise in the US, with methicillin-resistant Staphylococcus aureus (MRSA) being the most common cause of purulent skin and soft-tissue infections. The primary …

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Infectious Disease

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