Z Gastroenterol 2019; 57(09): e211-e212
DOI: 10.1055/s-0039-1695172
Dünndarm, Dickdarm, Proktologie
Infektionen und Notfälle: Donnerstag, 03. Oktober 2019, 12:25 – 14:01, Studio Terrasse 2.2 B
Georg Thieme Verlag KG Stuttgart · New York

International survey evaluating treatment of primary superficial skin abscesses

A Rühle
1   Universitätsklinik Heidelberg, Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Heidelberg, Deutschland
,
F Oehme
2   Universitätsklinikum Dresden, Klinik für Viszeral-, Thorax- und Gefäßchirurgie, Dresden, Deutschland
,
J Metzger
3   Luzerner Kantonsspital, Klinik für Allgemein- und Viszeralchirurgie, Luzern, Schweiz
,
R Babst
4   Luzerner Kantonsspital, Klinik für Orthopädie und Unfallchirurgie, Luzern, Schweiz
,
FJP Beeres
4   Luzerner Kantonsspital, Klinik für Orthopädie und Unfallchirurgie, Luzern, Schweiz
› Author Affiliations
Further Information

Publication History

Publication Date:
13 August 2019 (online)

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Introduction:

Skin and soft tissue infections (SSTI) present regularly as cutaneous abscesses which require surgical drainage. These abscesses often affect younger patients and interfere with their independency substantially. Existing guidelines display heterogeneous recommendations concerning surgical aftercare. Primary aim of this survey was to present a nomogram for standard abscess therapy based on international expert opinions.

Method:

International survey on standard of care protocols for cutaneous abscesses concerning surgical treatment and aftercare. The survey was conducted in 2017 during two international conferences held in Switzerland.

Result:

490 surgeons originating from 66 nations participated in this survey with the majority coming from Europe and Asia. Indication for surgery, operation type and wound rinsing were answered homogeneously.

Perioperative setting (45% sterile, 55% semi-sterile), anaesthesia (45% local, 55% general), antibiotic therapy (38% always, 35% never, 27% other), irrigation fluid (54% sterile, 32% non sterile, 14% antiseptic), irrigation frequency (55% once daily, 30% twice daily), wound dressing (69% packing, 31% coverage) were heterogeneously answered topics.

Conclusion:

Treatment and aftercare of simple primary skin abscesses is processed heterogeneously throughout the world. Focus should be on optimal patient focused treatment with minimal socioeconomic impact. Future studies should focus on the validation of the different postoperative treatment options with the aim to develop a socio-economically accepted algorithm.