What is the role of adding antibiotics to surgical incision and drainage for treatment of uncomplicated skin abscesses?

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Logan Villareal ◽  
Gary Kelsberg
Keyword(s):  
Surgical Incision ◽  
Incision And Drainage

scholarly journals EP.FRI.469 A closed-loop audit regarding the practice of sending Pus Swab for culture and sensitivity in Pilonidal abscess drainage

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Varun Sarodaya ◽  
Mohammad Zeeshan Nasser ◽  
Mubashar Hussain
Keyword(s):  
Closed Loop ◽  
Treatment Protocol ◽  
Cost Savings ◽  
Incision And Drainage ◽  
Patient Demographics ◽  
High Infection ◽  
Theatre Staff ◽  
Time Required ◽  
Pilonidal Abscess

Abstract Aim The purpose of this study was to determine the role of Microbiological swabs taken during an Incision and drainage for Pilonidal abscess in patient management. Method We performed a closed-loop audit to determine the role of pus swabs in the management of pilonidal abscess. Parameters like patient demographics, date of surgery, whether or not pus sent for microbiological examination, the subsequent report, the time required for sample processing, antibiotics prescribed were considered. The data was collated, analysed, and presented at clinical governance. We then implemented in our treatment protocol to stop the practice. This data was again, prospectively collected to complete the audit cycle. Result A total of 250 patient were included in this study. Prior to the change of practice, swabs were sent in 77% of the cases. The average reporting time of the swabs was 4.3 days and 92% of the patients were discharged on antibiotics. After conducting multiple teaching sessions for the trainees and educating the theatre staff, the percentage of swabs sent was brought down to 58%. Conclusion The pilonidal abscess has high infection and recurrence rate. Hence, the management involves incision, drainage and antibiotics cover in most cases. In our study, the swab results did not alter patients management. Most of them were treated with Co-Amoxiclav and some required additional Metronidazole. Hence, we suggested the routine use of swab for culture in pilonidal abscess cases are unwarranted. This change of practice resulted in huge cost savings at our hospital.

scholarly journals Clinical failure in abscess treatment: the role of ultrasound and incision and drainage

CJEM ◽  
2021 ◽  
Author(s):  
Melissa Goulding ◽  
John Haran ◽  
Alexandra Sanseverino ◽  
Tyler Zeoli ◽  
Romolo Gaspari
Keyword(s):  
Clinical Failure ◽  
Incision And Drainage

The Role of Pratisarana Kshara in the management of External Abscess

2018 ◽  
Vol 3 (5) ◽  
Author(s):  
Dr. Savadi B. S. ◽  
Hiremath Sangameshwar ◽  
Dr. Aakash Kembhavi
Keyword(s):  
Salivary Gland ◽  
Clinical Features ◽  
Treatment Modality ◽  
The Body ◽  
Local Temperature ◽  
Incision And Drainage

Abscess is an acquired condition seen all over the body. The clinical features of abscess are swelling, pain, redness, local temperature and tenderness. Salivary gland infection complications are uncommon. Submandibular abscess is caused when a salivary gland infection is left untreated, pus can collect and cause an abscess. Here, the commonly used treatment is incision and drainage followed by antibiotics which may have chance of re-occurrences. Hence, incision and drainage followed by the use of Pratisarana Kshara was used as the treatment modality to cure submandibular abscess.

Periurethral abscess complicating male gonococcal urethritis treated by surgical incision and drainage

2002 ◽  
Vol 13 (12) ◽  
pp. 857-858 ◽  
Author(s):  
A J Komolafe ◽  
P A Cornford ◽  
M V P Fordham ◽  
D J Timmins
Keyword(s):  
Surgical Drainage ◽  
Surgical Incision ◽  
Incision And Drainage ◽  
Gonococcal Urethritis ◽  
Heterosexual Male

Gonococcal urethritis in a heterosexual male complicated by periurethral abscess and its treatment with antibiotics and surgical drainage is presented.

Nasal septal haematoma in Nigeria

1992 ◽  
Vol 106 (5) ◽  
pp. 396-398 ◽  
Author(s):  
A. B. Chukuezi
Keyword(s):  
Prospective Study ◽  
General Hospital ◽  
Brain Abscess ◽  
Surgical Incision ◽  
Incision And Drainage ◽  
Aggressive Management ◽  
Spontaneous Haematoma ◽  
A Prospective Study

AbstractA prospective study of 46 consecutive patients with nasal septal haematoma admitted at the General Hospital, Owerri, Nigeria over a five year period is presented. The disease was commoner in males than females. The majority of the cases (65.6 per cent) were of unknown cause and were therefore grouped as spontaneous haematoma while 30.4 per cent were due to trauma. Trauma was more common in patients below the age of 15 years while spontaneous haematoma was common in patients above that age. All the patients with septal haematoma represented 0.2 per cent of total attendances to the ENT clinic over the period. Most of the patients presented with severe and threatening symptoms necessitating intense aggressive management. All the patients were managed by surgical incision and drainage, four had marked nasal abnormalities. Three patients died from a brain abscess as a complication of infected haematoma.

scholarly journals Minor vs complete excision of pilonidal sinus: Early postoperative period

2012 ◽  
Vol 59 (2) ◽  
pp. 81-85 ◽  
Author(s):  
Jelena Petrovic ◽  
Ivan Dimitrijevic ◽  
Zoran Krivokapic
Keyword(s):  
Pilonidal Sinus ◽  
Pilonidal Disease ◽  
Healing Time ◽  
Early Postoperative Period ◽  
Surgical Approaches ◽  
Complete Excision ◽  
Surgical Incision ◽  
Natal Cleft ◽  
Incision And Drainage

Pilonidal sinus arises in the natal cleft of the sacrococcigeal region either as a cyst or as an abscess collection containing hair. It is predominantly a condition of younger people. When presenting as an abscess it usually requires surgical incision and drainage, or bursts spontaneously. In general, there are various surgical approaches to this condition, from very simple to complex ones. Each technique has its supporters and justifications. In the 3 years period, from 2009-2011, 110 treatments of the pilonidal disease were performed on our department. Midline excision was performed in 75 (68.18%) patients and the rest had marsupielisation done. The average discharge time was 1.14 days. Failure to heal occurred in 15 patients (13.63%). During that period we saw recurrence in 4 patients (3.63%). All the patients were coming to our department for postoperative care. The shortest healing time was 4 weeks and longest 21 weeks. During the period may 2011-may 2012 we performed 17 less extensive excisions. All the patients were discharged from the clinic within 23 hours and returned to their daily activities within 5 days. Healing time varied from 2 weeks to 5 weeks. In only one patient with the extensive excision healing time was 8 weeks. Although we had a short follow up period of 11.11 months, we saw no recurrence yet. Our results show that simple individual approach to every patients gives fastest and most comfortable results.

scholarly journals The role of adipose tissue in the healing of rat uterine wall after a full-thickness surgical incision

2021 ◽  
Vol 10 (4) ◽  
pp. 72-80
Author(s):  
N.B. Tikhonova ◽  
◽  
A.P. Milovanov ◽  
V.V. Aleksankina ◽  
T.V. Fokina ◽  
...  
Keyword(s):  
Adipose Tissue ◽  
Uterine Wall ◽  
Uterine Horn ◽  
Morphometric Study ◽  
Full Thickness ◽  
Sprague Dawley ◽  
Surgical Incision ◽  
Laboratory Rodents ◽  
The Right

Introduction. Data about the role of components of adipose tissue in the repair of damaged uterine walls are limited, although a number of authors claim that cell-based drugs from adipose tissue have a positive effect on the repair of damaged uterine walls in laboratory rodents. Meanwhile, stem cells derived from adipose tissue are considered to be the most promising type of cells in regenerative medicine. The aim of the studywas to evaluate the adipocyte components in the uterine wall of rats in healing after a full-thickness surgi-cal incision. Materials and methods. We conducted the study on 40 female Sprague Dawley rats. The animals were sub-jected to a full-thickness longitudinal incision in the wall of the right uterine horn, with the left one serving as an intact control. We carried out morphological examinations of the uterine walls daily in 5 animals from day 1 to 7 and on day 15. The sections from paraffin blocks were stained with hematoxylin and eosin and Mallory’s trichrome staining. Immunohistochemistry detected FABP4+ adipocytes and CD68+ macrophages. The morphometric study was carried out using the Leica system (Leica, Germany). The results underwent processing in the Statistica 12 software (StatSoft). Results. We noticed the period of the most active interaction of adipose tissue with the damaged horn to last from day 3 to 15 and coincide with the macrophage activation in the healing zone. The intact left uterine horn was not involved in the interaction processes with the mesenteric adipose tissue. Starting from day 3 FABP4+ cells in the uterine wall of the operated horn formed groups, creating rounded nest-like structures. Clusters of FABP4+ cells were localized in the healing zone, near the suture material, and in the perime-trium near the mesentery attachment sites. The changes over time of the indicators of the area of cell nests depended on the localization and duration of healing. There were no FABP4+ cells in the left intact horn. Conclusion. We characterized the morphological interaction of adipose tissue with the damaged uterine wall during the first two weeks after a full-thickness surgical incision of the rat uterine horn. The results of the study indicate that adipocytes take an active part in the healing after a surgical incision of the rat uterine wall at the earliest stages. Keywords: rat uterus, hysterotomy, healing, adipocytes, macrophages

scholarly journals Role of ultrasound in the diagnosis of primary and recurrent dermatofibrosarcoma protuberans

BMC Cancer ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Min-Hong Zou ◽  
Qing Huang ◽  
Ting Yang ◽  
Ye Jiang ◽  
Luan-jing Zhang ◽  
...  
Keyword(s):  
Dermatofibrosarcoma Protuberans ◽  
Primary Group ◽  
Surgical Incision ◽  
Recurrent Group ◽  
Subcutaneous Nodules ◽  
Significant Difference ◽  
Hypoechoic Mass ◽  
Slow Growing ◽  
Ultrasound Features

Abstract Background Dermatofibrosarcoma protuberans (DFSP) is a rare, low- to intermediate-grade sarcoma, which represents a diagnostic imaging challenge. This study aimed to analyze the clinical and ultrasound features of primary and recurrent DFSP to improve the diagnosis. Methods Clinical, imaging, and pathological data from a total of 58 patients (23 patients with primary DFSP and 35 patients with recurrent DFSP) were retrospectively reviewed. Results There was no statistically significant difference in age, sex, tumor size, or echogenicity between the two groups. Most of the primary DFSP lesions involved the overlying dermis and hypodermis, while most of the recurrent DFSP lesions were fixated to more deeply seated structures at the original surgical incision. Red nodules on the skin were found more frequently in the primary group. There were statistically significant differences in the type of lesion and ultrasound tumor morphology (p < 0.050). The lesions in the primary group showed more tentacle-like projections or a “claw” sign, while the lesions in the recurrent group were more commonly oval, lobulated, and irregularly shaped. Hypervascularity was common in both groups. Conclusions For primary DFSP, a slow-growing, red nodule on the skin involving the overlying dermis and hypodermis, more frequently a hypoechoic mass with tentacle-like projections or a “claw” sign, was observed. For recurrent DFSP, palpable subcutaneous nodules or subcutaneous masses at the original surgical incision and oval, lobulated, and irregularly shaped lesions were more commonly observed. This may be useful for improving diagnostic accuracy.

Tongue abscess: a rare condition. A report of two cases and a summary of 66 reported cases

2020 ◽  
pp. 1-4
Keyword(s):  
Current Knowledge ◽  
Case Reports ◽  
Case Series ◽  
Rare Condition ◽  
Needle Aspiration ◽  
Inclusion Criteria ◽  
Surgical Incision ◽  
Incision And Drainage ◽  
Excellent Outcome ◽  
Presenting Symptoms

Tongue (lingual) abscess is a rare condition, which, potentially compromise the airway acutely and may lead to death in the misdiagnosed cases. The incidence of such cases has been extensively reduced since the introduction of antibiotics era and most of our current knowledge is based, mainly, on a limited number of case reports. Here, we reviewed the current available data related to tongue abscess using the Pub-Med database and present two new cases which were treated at our institute. In total, 66 cases (43 case reports and 8 case series) were fall within the inclusion criteria and were discussed in the current study. The presenting symptoms included mainly, but not limited, pain and swelling of the tongue. In extreme cases, airway securing by tracheostomy procedure is considered. Most of cases were treated by needle aspiration and/or surgical incision and drainage with excellent outcome. No specific bacterial signature was noticed. To conclude, lingual abscess must be recognized promptly, followed by securing airway and surgical drainage.

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