Özturan İU, Doğan NÖ, Karakayalı O, Özbek AE, Yılmaz S, Pekdemir M, Suner S, et al.
The American journal of emergency medicine. Date of publication 2017 Jun 1;volume 35(6):830-834.
1. Am J Emerg Med. 2017 Jun;35(6):830-834. doi: 10.1016/j.ajem.2017.01.036. Epub
2017 Jan 22.
Comparison of loop and primary incision & drainage techniques in adult patients
with cutaneous abscess: A preliminary, randomized clinical trial.
Özturan İU(1), Doğan NÖ(2), Karakayalı O(3), Özbek AE(3), Yılmaz S(1), Pekdemir
M(1), Suner S(4).
Author information:
(1)Kocaeli University, Faculty of Medicine, Dept. of Emergency Medicine,
Kocaeli, Turkey.
(2)Kocaeli University, Faculty of Medicine, Dept. of Emergency Medicine,
Kocaeli, Turkey. Electronic address: nurettinozgurdogan@gmail.com.
(3)Derince Training and Research Hospital, Dept. of Emergency Medicine, Kocaeli,
Turkey.
(4)Brown University, Rhode Island Hospital, Dept. of Emergency Medicine, RI,
USA.
OBJECTIVES: The aim of this study is to compare efficacy of loop drainage and
standard incision & drainage (I&D) in adult patients with cutaneous abscess in
the emergency department.
METHODS: This study is an interventional, parallel group, randomized clinical
trial. Adult patients with cutaneous abscess were randomized into loop drainage
and standard I&D groups. The primary outcome was defined as change in diameter
of abscess and cellulitis 7days after procedure. Secondary outcome measures were
pain intensity at the end of the procedure and procedure duration. Also patient
satisfaction, need for antibiotics and repetitive drainage were recorded.
RESULTS: A total of 46 patients were included in the study (23 in each group).
Both groups had similar baseline characteristics. Median abscess diameters were
3.2 (1.9-4.0) cm and 3.0 (2.4-4.8) cm in loop drainage and I&D groups
respectively. In the loop drainage group there was a -0.6cm (95% CI: -1.7-0.5)
difference in abscess diameter compared to the I&D group. There was also a
reduction in cellulitis diameter (-1.3cm, 95% CI: -3.4-0.8). No statistically
significant difference was found between groups in patient satisfaction, use of
antibiotics or need for repetitive drainage.
CONCLUSION: This preliminary study revealed that, loop drainage technique is
similar to standard I&D technique in abscess resolution and complications.
(Clinical Trials Registration ID: NCT02286479).
Copyright © 2017 Elsevier Inc. All rights reserved.
DOI: 10.1016/j.ajem.2017.01.036
PMID: 28162873 [Indexed for MEDLINE]
