1 / 13

Incision and Drainage

Incision and Drainage. Bucky Boaz, ARNP-C. Abscess Etiology. Staphylococcal strains Group A B -hemolytic streptoccal Anaerobic bacterial. HOSTS MANUAL LABOR WOMEN IV DRUG USERS. HIGH CONCEN. OCCLUDE. INTACT SKIN. MOIST ENV. TRAUMA. NUTRIENTS. LIQUIFY & ACCUM. LOCULATION

barry-witt
Télécharger la présentation

Incision and Drainage

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Incision and Drainage Bucky Boaz, ARNP-C

  2. Abscess Etiology • Staphylococcal strains • Group A B-hemolytic streptoccal • Anaerobic bacterial

  3. HOSTS MANUAL LABOR WOMEN IV DRUG USERS HIGH CONCEN. OCCLUDE INTACT SKIN MOIST ENV. TRAUMA NUTRIENTS LIQUIFY & ACCUM LOCULATION OF PUS CELLULITIS NECROSIS Pathogenesis ABSCESS

  4. Bacteriology of Cutaneous Abscesses • Head, neck, extremities, trunk • Staphlocci • Group a B-hemolytic streptococci • Buttocks and perirectal • Anaerobes • Perirectal area, head, fingers, and nailbed • Mixed aerobic and anerobic

  5. Special Considerations • Parental drug users • Insulin-dependent diabetics • Hemodialysis patients • Cancer patients • Transplant recipients

  6. Laboratory Findings • Offer no specific guidelines for therapy • Not indicated • Gram stain not indicated • Routine culture not indicated • Except immunosuppressed

  7. Indications and Contraindications • Incision and drainage is definitive treatment • Antibiotics alone are ineffective • Premature incision • Heat • Nonsurgical recheck <24-36 hours

  8. Ancillary Antibiotic Therapy • Prophylactic Antibiotics • Endocarditis • Bacteremia in other conditions • Therapeutic Antibiotics

  9. Incision and Drainage Procedure • Procedure site • Equipment and Anesthesia • Incision • Wound Dissection • Wound Irrigation • Packing and Dressing

  10. Follow-up Care • Reevaluation 1-3 days (48 hours standard) • Closely follow • Immunosuppressed • Facial abscess • Instruct on wound care • Decide on repacking • Peroxide and Q-tips

  11. Specific Abscess Therapy • Staphyloccal Disease • Hidradenitis Suppurativa • Breast Abscess • Bartholin Gland Abscess • Pilonidal Abscess • Infected Sebaceous Cyst

  12. Specific Abscess Therapy • Perirectal Abscess • Pathophysiology • Epidemiology • Physical and laboratory findings • treatment

  13. Questions?

More Related