Antibiotics in surgical treatment of acute abscesses.

Blick, P W; Flowers, M W; Marsden, A K; Wilson, David H.; Ghoneim, A T

doi:10.1136/bmj.281.6233.111

Cited by 20 publications

(3 citation statements)

References 3 publications

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“…Contradictory findings have been published as well, demonstrating more frequent occurrence of abscesses in females [13,14]. In our study, the anatomical distribution of abscesses was comparable to that reported in other series with a predominance for head and neck [13,18,19,21]. Pilonidal abscesses, which accounted for approximately 10% of the abscesses in many series, were not seen in the patients included in this study, indicating that this condition may occur less frequently in Sudan.…”

Section: Discussionsupporting

confidence: 88%

“…Some authors advocate the routine use of antibiotics for these patients [26,28], whereas others advice to limit such therapy [19,25,29]. Some authors used a preoperative dose only [21], others denied antibiotic therapy all together [15,19]. The latter authors claimed that complications attributable to withholding of antibiotics were never seen.…”

Section: Discussionmentioning

confidence: 99%

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An epidemiological study on the occurrence ofStaphylococcus aureusin superficial abscesses of patients presenting for surgery in a teaching hospital in Khartoum, Sudan

Mahdi¹,

Ahmed²,

Boelens³

et al. 2000

FEMS Immunology &Amp; Medical Microbiology

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A group of patients (n = 86) suffering from superficial abscesses was recruited in the Khartoum Teaching Hospital, Sudan. Detailed clinical and socio-economic data were collected. It appeared that 83% of all patients were younger than 40. Labourers were most prevalent (28%), followed by students (23%) and housewives (16%). The head and neck were most often affected (22%), with hands being second (19%). In 92% of all pus cultures a microbial agents was identified, the large majority being Staphylococcus aureus (69%). Among patients, 47% were nasal carriers of S. aureus, similar to the carriage rate measured among controls, suggesting that nasal carriage is no risk factor for abscess development. Multivariate logistic regression analysis revealed that a history of abscess, recent traditional medical treatment, poor hygiene and low socio-economic status were significantly and independently associated with the occurrence of superficial abscesses. ß

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

An epidemiological study on the occurrence ofStaphylococcus aureusin superficial abscesses of patients presenting for surgery in a teaching hospital in Khartoum, Sudan

Mahdi¹,

Ahmed²,

Boelens³

et al. 2000

FEMS Immunology &Amp; Medical Microbiology

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“…Most authors (1, 2, 7, 8) recommend a postoperative treatment for 4 days, but a single preoperative dose has proved to be sufficient (6,9).…”

Section: Discussionmentioning

confidence: 99%

Treatment of Abscesses in the Vulva: Conventional Open Treatment Versus Primary Suture Under Antibiotic Cover

Larsen

Christophersen

et al. 1986

Acta Obstet Gynecol Scand

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Seventy patients were treated for a subcutaneous abscess in the vulva. In 35 consecutive patients the abscess was treated conventionally with deroofing of the abscess and wet dressings. In the other 35 consecutive patients the abscess was treated by incision, curettage and primary suture under antibiotic cover with a single dose of clindamycin. In the conventionally treated group the median stay in hospital was 7 days and the median healing time 18 days. In the group treated by primary suture the median stay in hospital was 2 days and the median healing time 7 days (P less than 0.0001). Recurrence of abscess was observed in one patient in each group. No other complications were observed in either group. It is concluded that vulvar abscesses may be treated safely and advantageously by primary suture under antibiotic cover.

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