Abscess Management: An Evidence-Based Review for Emergency Medicine Clinicians

Menegas, Samantha; Moayedi, Siamak; Torres, Mercedes

doi:10.1016/j.jemermed.2020.10.043

Cited by 12 publications

(7 citation statements)

References 80 publications

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“…Fourteen studies [10][11][12][13][14][15][16][17][18][19][20][21][22][23] were review articles or authors' replies and were excluded for these reasons. Furthermore, two studies [24][25] were excluded because there was no comparison of the Word catheter with another intervention method.…”

Section: Search Resultsmentioning

confidence: 99%

Word catheter in women with Bartholin’s cysts: a systematic review and meta-analysis

Pivazyan,

Obosyan,

Grdzelishvili

et al. 2024

Ital J Gynaecol Obstet

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Objective. Our study aims to compare the outcomes of Word catheter and marsupialization as the main treatment modalities in women with Bartholin's cysts or abscesses. Materials andMethods. An electronic database search was conducted using PubMed, MEDLINE, the Cochrane Library, ClinicalTrials.gov, Embase, and Google Scholar. The date of the last screening was April 20, 2023. Randomised clinical trials (RCTs) and non-randomised clinical trials evaluating the efficacy of the Word catheter compared to marsupialization of bartholin cysts or abscesses were included.Results. A total of 671 articles were analyzed. After excluding duplicates and irrelevant reports, five studies were included in the qualitative and quantitative synthesis: one publication was a randomized trial, and four were non-randomized studies, which yielded 756 patients. There was no statistically significant difference between the Word catheter and the marsupialization group (RR = 1,28, 95% CI: 0,84-1,95, P = 0,26) in terms of recurrence rates. The heterogeneity for this comparison was 15%. The results of the three studies show that the duration of the procedure was shorter in the Word catheter group compared to the marsupialization group. Increased pain scores during treatment and post-treatment were more common in the Word catheter group. Conclusions.Our systematic review and meta-analysis show that there is no statistically significant difference regarding recurrence rates. In addition, marsupialization, compared to the Word catheter, is a more traumatic treatment method with a longer duration and requires general anesthesia and an operating theater. Nevertheless, correct therapeutic management and a personalized approach are important to ensure effective treatment and prevent complications.

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Section: Search Resultsmentioning

confidence: 99%

Word catheter in women with Bartholin’s cysts: a systematic review and meta-analysis

Pivazyan,

Obosyan,

Grdzelishvili

et al. 2024

Ital J Gynaecol Obstet

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“…With the advent of bedside ultrasound in the assessment of abscesses in multiple locations of the body, including the head and neck, further analysis of Emergency Medicine abscess management outlined by a 2021 evidence-based review by Menegas et al argues for the use of clinical assessment and possible trans-oral versus trans-cervical ultrasound, and against the use of CT scans in the diagnosis of peritonsillar abscess (9). This, we argue, further calls into question the utility of a CT scan in this specific patient population.…”

Section: Discussionmentioning

confidence: 99%

Variation in patient presentation and the use of computer tomography in the urgent care diagnosis and treatment of peritonsillar abscess

Bell

Chau

2023

Preprint

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Background A peritonsillar abscess (PTA) is a collection of infectious material within the peritonsillar space, seen most often in teenagers and young adults. The diagnosis of a PTA is reliant on a patient’s history and physical exam; however, CT scans continue to be used. The rationale for imaging in the diagnosis of a PTA may be better understood based on patient presenting symptoms and physical exam findings. Methods A retrospective review of adult patients diagnosed with a peritonsillar abscess in an acute care/emergency setting at a tertiary hospital between January 1 to December 31, 2019, was performed. Patients were arranged into two groups: those who underwent a CT scan versus patients who did not scan as part of their clinical work-up. Patient demographics, and differences in the rate of subjective and objective findings were compared. Results 43 patients were included in the study: 19 in the CT scan group, and 23 in the no-CT scan group. There was no statistically significant difference in the history of previous peritonsillar abscess incidence, patient chief complaint at triage, subjective complaints, or objective physical exam findings. The most common patient reported symptoms in both groups were odynophagia and dysphagia. The most common objective findings in both groups included peritonsillar fullness and erythema, and uvular deviation. Conclusion Patients who underwent a CT scan as part of their work-up for a peritonsillar abscess had no difference in symptoms or physical exam findings when compared to patients who did not have a CT scan.

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“…Segundo Menegas et al (2021) a ultrassonografia é valiosa na detecção de abscessos que não são clinicamente evidentes e na orientação de procedimentos de incisão e drenagem. Segundo os pesquisadores, o abscesso dentário pode frequentemente ser identificado apenas com exame clínico, mas a ecografia pode ser um relevante adjuvante.…”

Section: Russell Et Al (unclassified

Utilização de POCUS (Point of Care Ultrasound) em infecções de pele e partes moles

Furlaneto

Carmo²,

Pereira³

et al. 2023

RSD

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Objetivou-se avaliar a aplicabilidade do uso do ultrassom point of care (POCUS) no atendimento de pacientes com abscesso nas partes moles visando otimizar o prognóstico e auxiliar no tratamento do enfermo. Trata-se de revisão integrativa da literatura, de caráter descritivo qualitativo, elaborada por meio de coleta de dados de fontes primárias. Foram incluídos estudos retrospectivos observacionais, revisões bibliográficas sistemáticas, estudos descritivos prospectivos, estudos caso-controle e estudos de meta-análises. Concluiu-se que a utilização do ultrassom point of care (POCUS) na prática clínica é primordial como suporte diagnóstico de indivíduos politraumatizado de urgência e emergência, bem como usuários de rotina que buscam pronto atendimento nos postos de saúde, como é o caso dos pacientes com abscessos nas partes moles. É fundamental, no entanto, estabelecer e protocolizar programas de formação e aperfeiçoamento, com diferentes níveis de capacitação e critérios de qualidade para garantir a segurança e eficácia do uso do POCUS no ambiente extra e intra-hospitalar. Há necessidade de novos estudos sobre o assunto por tratar-se de recurso tecnológico de propedêutica em diversas especialidades e existência de restritas pesquisas sobre o uso da ferramenta no atendimento inicial dos pacientes.

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Abscess Management: An Evidence-Based Review for Emergency Medicine Clinicians

Cited by 12 publications

References 80 publications

Word catheter in women with Bartholin’s cysts: a systematic review and meta-analysis

Word catheter in women with Bartholin’s cysts: a systematic review and meta-analysis

Variation in patient presentation and the use of computer tomography in the urgent care diagnosis and treatment of peritonsillar abscess

Utilização de POCUS (Point of Care Ultrasound) em infecções de pele e partes moles

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