Irrigation Versus no Irrigation for Cutaneous Abscess

NCT ID: NCT01606657

Last Updated: 2017-05-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

201 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-08-31

Study Completion Date

2015-04-30

Brief Summary

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In this study, the investigators are trying to find out if washing out the abscess (pocket of pus) with fluid will help, instead of only taking out the pus. Your care will be the same as usual, except that you will be selected randomly to have your abscess washed out with fluid, or not.

Detailed Description

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Irrigation of the abscess cavity is commonly described as part of the procedure of incision and drainage of cutaneous abscesses (1-4). Despite this, there are no randomized controlled trials that demonstrate the benefit of irrigation in treatment of these abscesses. Potential disadvantages of irrigation include increased procedural time, pain, increased cost with sterile irrigation solutions and materials to capture the irrigation effluent, and increased risk of microbiologic contamination of the surrounding area. The goal of this study is to examine patients undergoing incision and drainage of cutaneous abscesses to determine if irrigation of the abscess cavity affects the need for further interventions.

Conditions

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Cutaneous Abscess

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Irrigation

THE PATIENT IS TO HAVE IRRIGATION OF THE ABSCESS WITH NORMAL SALINE AS PART OF THE I\&D PROCEDURE

Group Type ACTIVE_COMPARATOR

Irrigation

Intervention Type PROCEDURE

The patient will receive irrigation as a part of their wound care

No Irrigation

THE PATIENT IS NOT TO HAVE IRRIGATION OF THE ABSCESS AS PART OF THE I\&D PROCEDURE

Group Type PLACEBO_COMPARATOR

No Irrigation

Intervention Type OTHER

The patient will not receive irrigation as part of their wound care

Interventions

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Irrigation

The patient will receive irrigation as a part of their wound care

Intervention Type PROCEDURE

No Irrigation

The patient will not receive irrigation as part of their wound care

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. All patients 18 years of age and above
2. Patients that require a cutaneous abscess incision and drainage

Exclusion Criteria

1. Unable to return for 48-hour followup.
2. Patients being admitted to the hospital or going to the operating room for incision and drainage
3. Pregnant patients
4. Prisoners
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of California, San Francisco

OTHER

Sponsor Role lead

Responsible Party

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Brian Chinnock

Associate Clinical Professor of Emergency Medicine, Director of Coding/Reimbursement

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Brian Chinnock, MD

Role: PRINCIPAL_INVESTIGATOR

UCSF, Community Regional Medical Center

Locations

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Community Regional Trauma and Burn Center

Fresno, California, United States

Site Status

Countries

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United States

References

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O'Malley GF, Dominici P, Giraldo P, Aguilera E, Verma M, Lares C, Burger P, Williams E. Routine packing of simple cutaneous abscesses is painful and probably unnecessary. Acad Emerg Med. 2009 May;16(5):470-3. doi: 10.1111/j.1553-2712.2009.00409.x. Epub 2009 Apr 10.

Reference Type BACKGROUND
PMID: 19388915 (View on PubMed)

Abraham N, Doudle M, Carson P. Open versus closed surgical treatment of abscesses: a controlled clinical trial. Aust N Z J Surg. 1997 Apr;67(4):173-6. doi: 10.1111/j.1445-2197.1997.tb01934.x.

Reference Type BACKGROUND
PMID: 9137156 (View on PubMed)

Llera JL, Levy RC. Treatment of cutaneous abscess: a double-blind clinical study. Ann Emerg Med. 1985 Jan;14(1):15-9. doi: 10.1016/s0196-0644(85)80727-7.

Reference Type BACKGROUND
PMID: 3880635 (View on PubMed)

Stewart MP, Laing MR, Krukowski ZH. Treatment of acute abscesses by incision, curettage and primary suture without antibiotics: a controlled clinical trial. Br J Surg. 1985 Jan;72(1):66-7. doi: 10.1002/bjs.1800720125.

Reference Type BACKGROUND
PMID: 3881155 (View on PubMed)

Other Identifiers

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10012010

Identifier Type: -

Identifier Source: org_study_id

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