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Note: conundrums are not meant to have a “right” answer – they are to see how most people are practicing. Would love your comments also regarding your thought processes and the evidence behind your decisions. We can learn from each other!

How are you managing uncomplicated abscesses these days?

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IDProceduresWound Management

pemsou5_wp • July 26, 2019

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  1. Kelly July 27, 2019 - 4:59 am Reply

    A nice summary of available evidence can be found in Gottlieb M et al: What to do after you cut: recommendations for abscess management in the emergency setting. Ann Emerg Med 2018;71:31-33, an Annals EM and EM:RAP partnership article. The authors’ conclusions are: ultrasonography is useful if the diagnosis is not clinically obvious, small (< 5 cm) abscesses may not need packing but larger abscesses should still be packed pending larger trials, loop drainage is a potential alternative to I&D + packing, consider antibiotics even for uncomplicated abscesses because they lead to a higher cure rate (NNT 7-14).

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