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Can Fam Physician
Vol. 53, No. 10, October 2007, pp.1680 - 1684
Copyright © 2007 by The College of Family Physicians of Canada
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Clinical Review

Evidence-based approach to abscess management

Christina Korownyk, MD CCFP
G. Michael Allan, MD CCFP
Assistant Professor at the University of Alberta in Edmonton and practises family medicine at the Northeast Community Health Centre in Edmonton

Assistant Professor at the University of Alberta and a Research Fellow at the Institute for Health Economics. He practises family medicine at the Northeast Community Health Centre and the Canadian Forces Base in Edmonton

Correspondence to: Dr Christina Korownyk, Northeast Community Health Centre, Family Medicine Department, 14007—50 St, Edmonton, AB T5A 5E4; telephone 780 472-5038; fax 780 472-5192; e-mail cpoag{at}ualberta.ca

OBJECTIF Présenter au médecin de famille un aperçu des données probantes concernant le traitement des abcès cutanés superficiels.

SOURCES DE L’INFORMATION On a consulté PubMed (à partir de 1950), Embase (à partir de 1974), la Cochrane Library (à partir de 1966) et Google (à partir de 1998) ainsi que les bibliographies des articles repérés. On a également passé en revue des documents condensés tels le Journal Club de l’ACP et les InfoPOEMs en plus de documents généraux.

PRINCIPAL MESSAGE Plusieurs aspects du traitement des abcès sont sujets à controverse, notamment le contrôle de la douleur, la nécessité des cultures et des tests de sensibilité, l’antibiothérapie empirique et le choix entre une plaie laissée ouverte ou une suture primitive. L’utilité d’une antibiothérapie empirique est devenue un sujet d’actualité, compte tenu de l’incidence accrue des infections à staphylocoque doré résistant à la méthicilline contractées dans le milieu naturel.

CONCLUSION Chez un patient immunodéficient sans facteurs de risque de confusion, l’incision avec drainage sous anesthésie locale est généralement suffisante comme traitement des abcès. Il n’y a pas de preuve convaincante en faveur d’une culture ou d’une antibiothérapie empirique. D’autres études seront nécessaires.





This Article
Right arrow Abstract Freely available
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow A correction has been published
Right arrow Rapid Responses: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Rapid Responses are posted
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Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Korownyk, C.
Right arrow Articles by Allan, G. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Korownyk, C.
Right arrow Articles by Allan, G. M.

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