Abscess Packing Versus Wick Placement After Incision and Drainage

Brief Summary

Official Title: “Abscess Packing Versus Wick Placement After Incision and Drainage”

Abscesses or "boils" are becoming more common every year and are a common reason children come to the Emergency Department. For the abscess to heal the skin needs to be opened to let the pus come out. Often doctors put something called "packing material" or gauze into the abscess space to help aid in healing. It is not known if the type of "packing" that is done is necessary or if a more simple treatment is as good or better. With informed consent we randomly place a child into one (1) of two (2) groups in this study that will say if the child's abscess/boil is packed with gauze in the traditional way or if a wick (small piece) of gauze is placed after the abscess/boil is opened and the fluid is drained. After treatment in the emergency department the child will be scheduled to follow-up in the Pediatric Acute Wound Service (PAWS) clinic as all other children with this infection are scheduled. At this visit the healing of the wound will be checked by the staff in the clinic and will be scored. With this evaluation of the wound the hypothesis that for a simple superficial (skin) abscess/boil a gauze wick placement into the abscess/boil is as effective as placement of traditional gauze packing.

  • Study Type: Interventional
  • Study Design: Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Outcomes Assessor), Primary Purpose: Treatment
  • Study Primary Completion Date: June 2011

Interventions Used in this Clinical Trial

  • Procedure: Full packing into abscess cavity
    • After incision and drainage plain 1/4-1/2 inch gauze packing material is placed into the cavity to fill it
  • Procedure: Wick placement into abscess cavity
    • After incision and drainage of the abscess a piece of plain gauze 1/4-1 inch packing material that is as wide as can be easily passed through the opening is placed into the cavity spanning one diameter of the cavity

Arms, Groups and Cohorts in this Clinical Trial

  • Experimental: Wick placement into abscess cavity
  • Active Comparator: Full packing of abscess cavity

Outcome Measures for this Clinical Trial

Primary Measures

  • Abscess healing based upon clinical criteria and clinical judgement
    • Time Frame: 24-72 hours
      Safety Issue?: Yes

Secondary Measures

  • Pain since abscess drainage
    • Time Frame: 24-72 hours
      Safety Issue?: No
  • Parent/guardian comfort with removing the packing material or wick from the abscess cavity
    • Time Frame: 24-72 hours
      Safety Issue?: No
  • Parent/guardian assessment of the abscess wound at 2 weeks
    • Time Frame: 2 weeks
      Safety Issue?: No
  • Parent/guardian assessment of pus drainage at 2 weeks
    • Time Frame: 2 weeks
      Safety Issue?: No
  • Need for further treatment of same abscess within 2 weeks
    • Time Frame: 2 weeks
      Safety Issue?: Yes

Criteria for Participation in this Clinical Trial

Inclusion Criteria

  • Well appearing patient
  • Abscesses restricted to the superficial areas of the extremities, buttocks, abdominal and thoracic walls, and back
  • Patients presenting Saturday-Wednesday

Exclusion Criteria

  • Fever >38 degrees celsius
  • Ill appearing patient
  • Underlying immunodeficiency or disorder leading to chronic abscess formation
  • Any reason for admission to hospital beyond the need for sedation at the time of follow-up
  • Thursday-Friday

Gender Eligibility for this Clinical Trial: Both

Minimum Age for this Clinical Trial: 6 Months

Maximum Age for this Clinical Trial: 18 Years

Are Healthy Volunteers Accepted for this Clinical Trial: No

Clinical Trial Investigator Information

  • Lead Sponsor
    • Washington University School of Medicine
  • Provider of Information About this Clinical Study
    • Eric Browner M.D., Department of Pediatrics Divsion of Pediatric Emergency Medicine Washington University in St. Louis

Source

Clinical Trials content is provided directly by the US National Institutes of Health via ClinicalTrials.gov and is not reviewed separately by ClinicalTrialsFeeds.org. Every page of information about a specific clinical trial contains a unique identifier which can be used to find further details directly from the National Institutes of Health.

The URL of this page is:
http://clinicaltrialsfeeds.org/clinical-trials/show/NCT01281930