Status:
TERMINATED
Comparison of Ultrasound-Guided Needle Aspiration and Open Incision and Drainage for Cutaneous Abscesses
Lead Sponsor:
Ottawa Hospital Research Institute
Conditions:
Abscess
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
The investigators propose to conduct a, two armed, randomized, controlled pilot study to assess the clinical effects of a) open incision, drainage with daily packing changes, compared to b) Ultrasound...
Eligibility Criteria
Inclusion
- Patients presenting to the Civic Campus emergency department of The Ottawa Hospital with an abscess less than 5 cm diameter, as judged by the attending emergency physician (measurement with tape measure for diameter) between the hours of 7 am and 10 pm will be approached for possible enrollment. Ultrasound will be used to assess the appropriate exclusion criteria.
Exclusion
- Patients under the age of 18 years,
- Patients with a Glasgow coma scale score of \<15 (i.e. not completely alert and oriented),
- Patients suspected of having necrotising fascitis,
- Patients with hemodynamic instability (defined as SBP \<90, and/or HR \>110),
- Patients admitted to hospital,
- Patients who are neither French nor English speaking,
- Patients who are not available for telephone follow-up (i.e. homeless).
- Ultrasound image demonstrates that the abscess is not compressible (generally indicates that the contents of the cyst includes solids, which would not be amenable to aspiration)
- Ultrasound demonstrates that there is no abscess to manage,
- Patients with perianal abscesses who have either Crohn's disease or ulcerative colitis or known perirectal fistula,
- Patients with recurrent abscesses in the same location or abscesses present for more than 2 weeks
- Patients with complex abscesses including deep tissue, sensitive body part involvement which includes: ears, eyes, lacrimal, orbital, submandibular, mouth, peritonsillar, and Bartholin's gland.
- Patients with renal impairment, diabetes, immunocompromised (as these patients are at risk of becoming more ill if an abscess were able to grow).
Key Trial Info
Start Date :
June 1 2009
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
March 1 2011
Estimated Enrollment :
20 Patients enrolled
Trial Details
Trial ID
NCT01186900
Start Date
June 1 2009
End Date
March 1 2011
Last Update
August 8 2011
Active Locations (1)
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1
The Ottawa Hospital
Ottawa, Ontario, Canada, K1Y4E9