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  • . Author manuscript; available in PMC: 2017 May 15.

    Published in final edited form as: J Okla State Med Assoc. 2017 Feb;110(2):78–79.

    Abstract

    Clinical Question

    In non-diabetic, non-immunocompromised individuals with skin abscesses, does packing after incision and drainage (I&D) reduce the risk of recurrence or re-intervention compared with not packing?

    Answer

    No.

    If the abscess is less than 5 cm, packing does not affect outcomes.

    Level of Evidence for the Answer

    B

    Search Terms

    abscess, incision and drainage, packing, healing by primary vs secondary intention

    Date Search was Conducted

    November 2014

    Inclusion Criteria

    Published RCTs and meta-analysis studies.

    Exclusion Criteria

    Abscess greater than 5 cm, abscess in diabetics, abscess in immunocompromised.

    Summary of the Issues

    The primary and standard of care method for treating small (less than 5 cm) skin abscesses is incision and drainage (I&D)1 with irrigation.1,2 The next options include packing the wound and allowing it to heal by secondary intention versus healing by secondary intention alone.

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