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At there alternatives to daily packing for infected abcess. Pt has severe pain with change?
Sep 17, 2019 by Melissa Khoo,
2 replies
Elaine Horibe Song
Hi Melissa, thank you for your question. Assuming that the abscess was simple and that it has already been successfully drained, and patient received/is receiving antibiotics. Among other alternatives, one alternative to wound packing following incision and drainage (I&D) is no packing. Studies have shown that wound packing does not appear to significantly impact failure or recurrence rates after simple I&D of abscesses in both adults and children.
Kessler 2012 https://www.ncbi.nlm.nih.gov/pubmed/22653459
Tonkin et al 2004 https://www.ncbi.nlm.nih.gov/pubmed/15486749
Sørensen et al 1987 https://www.ncbi.nlm.nih.gov/pubmed/3324596
Sep 17, 2019
Julie Lientz
I would say depending on the drainage amount. If not draining a lot then it doesn't have to be packed daily. 2 time a week or M,W,F. I usually use aquacel ag rope to lightly pack the wound and a foam dressing to cover.
Sep 17, 2019
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