Evaluation of 3 Versus 10 Days of Antibiotics in Skin Abscesses After Surgical Drainage
Summary
The objective of this study is to determine if there is a difference in treatment failures and recurrent skin infections when patients are given 3 or 10 days of antibiotics for uncomplicated skin abscesses after they have been surgically drained.
Timeline
- Start
- 2010-02
- Primary completion
- 2012-01
- Completion
- 2012-07
Outcome
Missed primary endpoint
registry analysis (non-inferiority or equivalence test); 3 Days vs 10 Days; p = 0.25; Rate Difference 4.0 (95% CI -1.5 to 9.5); Chi-squared NCT02024867 ↗
registry analysis (non-inferiority or equivalence test); 3 Days vs 10 Days; p = 0.03; Rate Difference 10.1 (95% CI 2.1 to 18.2); Chi-squared NCT02024867 ↗
registry analysis (non-inferiority or equivalence test); 3 Days vs 10 Days; p >0.05; Rate Difference 0.1 (95% CI -6.9 to 7.0); Chi-squared NCT02024867 ↗
Publications
- Background Duong M, Markwell S, Peter J, Barenkamp S. Randomized, controlled trial of antibiotics in the management of community-acquired skin abscesses in the pediatric patient. Ann Emerg Med. 2010 May;55(5):401-7. doi: 10.1016/j.annemergmed.2009.03.014. Epub 2009 May 5.
- Background Schmitz GR, Bruner D, Pitotti R, Olderog C, Livengood T, Williams J, Huebner K, Lightfoot J, Ritz B, Bates C, Schmitz M, Mete M, Deye G. Randomized controlled trial of trimethoprim-sulfamethoxazole for uncomplicated skin abscesses in patients at risk for community-associated methicillin-resistant Staphylococcus aureus infection. Ann Emerg Med. 2010 Sep;56(3):283-7. doi: 10.1016/j.annemergmed.2010.03.002. Epub 2010 Mar 26.
- Holmes L, Ma C, Qiao H, Drabik C, Hurley C, Jones D, Judkiewicz S, Faden H. Trimethoprim-Sulfamethoxazole Therapy Reduces Failure and Recurrence in Methicillin-Resistant Staphylococcus aureus Skin Abscesses after Surgical Drainage. J Pediatr. 2016 Feb;169:128-34.e1. doi: 10.1016/j.jpeds.2015.10.044. Epub 2015 Nov 11.
Drugs
| Evaluation | Drug | Modality | Dose | Route |
|---|---|---|---|---|
| Subject | trimethoprim-sulfamethoxazole | Unknown | 10 mg/kg | Oral |