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Pediatric abscess characteristics associated with hospital admission from the ED.
Am J Emerg Med. 2011 Nov; 29(9):1013-8.AJ

Abstract

OBJECTIVE

To determine the characteristics of pediatric soft tissue abscesses that result in hospital admission.

METHODS

All visits for soft tissue abscesses to the study emergency department (ED) were examined during 2008. Detailed records were reviewed to determine ED disposition, abscess size, location, presence of fever, duration of symptoms, previous antibiotic therapy, prior ED visit(s), and wound and blood culture results. Data were analyzed to determine which of these characteristics were associated with hospital admission from the ED.

RESULTS

Six hundred twenty-two patients met the inclusion criteria. One hundred thirteen (18%) patients were admitted to the hospital and 509 (82%) were discharged home. Compared to those sent home, abscesses resulting in admission were more likely to be located in the genital area (odds ratio [OR], 3.08; 95% confidence interval [CI], 1.37-6.90), breast (OR, 4.8; 95% CI, 1.08-21.4), or face (OR, 4.39; 95% CI, 1.86-10.3), and were more likely to be larger than 3 cm (OR, 3.66, 95% CI, 2.10-6.36). Patients who were admitted to the hospital were also more likely to have fever (OR, 5.93; 95% CI, 3.4-10.3) and have had a prior ED visit with the same complaint (OR, 3.81; 95% CI, 1.77-8.2). Seventy-seven percent of abscesses that were cultured were positive for methicillin-resistant Staphylococcus aureus.

CONCLUSIONS

Size and location (especially those in the genital region, breast, and face), appear to be associated with admission for pediatric abscesses. History of fever and previous ED visit also appear to be associated with hospital admission. Obtaining blood cultures for pediatric abscesses is likely of little clinical benefit.

Authors+Show Affiliations

Department of Pediatrics, Emory University, Atlanta, GA 30303, USA. mwsauer@emory.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20708872

Citation

Sauer, Michael W., et al. "Pediatric Abscess Characteristics Associated With Hospital Admission From the ED." The American Journal of Emergency Medicine, vol. 29, no. 9, 2011, pp. 1013-8.
Sauer MW, Hirsh DA, Simon HK, et al. Pediatric abscess characteristics associated with hospital admission from the ED. Am J Emerg Med. 2011;29(9):1013-8.
Sauer, M. W., Hirsh, D. A., Simon, H. K., Kharazmi, S. A., & Sturm, J. J. (2011). Pediatric abscess characteristics associated with hospital admission from the ED. The American Journal of Emergency Medicine, 29(9), 1013-8. https://doi.org/10.1016/j.ajem.2010.05.015
Sauer MW, et al. Pediatric Abscess Characteristics Associated With Hospital Admission From the ED. Am J Emerg Med. 2011;29(9):1013-8. PubMed PMID: 20708872.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pediatric abscess characteristics associated with hospital admission from the ED. AU - Sauer,Michael W, AU - Hirsh,Daniel A, AU - Simon,Harold K, AU - Kharazmi,Shervin A, AU - Sturm,Jesse J, Y1 - 2010/08/13/ PY - 2010/04/20/received PY - 2010/05/26/revised PY - 2010/05/27/accepted PY - 2010/8/17/entrez PY - 2010/8/17/pubmed PY - 2011/12/30/medline SP - 1013 EP - 8 JF - The American journal of emergency medicine JO - Am J Emerg Med VL - 29 IS - 9 N2 - OBJECTIVE: To determine the characteristics of pediatric soft tissue abscesses that result in hospital admission. METHODS: All visits for soft tissue abscesses to the study emergency department (ED) were examined during 2008. Detailed records were reviewed to determine ED disposition, abscess size, location, presence of fever, duration of symptoms, previous antibiotic therapy, prior ED visit(s), and wound and blood culture results. Data were analyzed to determine which of these characteristics were associated with hospital admission from the ED. RESULTS: Six hundred twenty-two patients met the inclusion criteria. One hundred thirteen (18%) patients were admitted to the hospital and 509 (82%) were discharged home. Compared to those sent home, abscesses resulting in admission were more likely to be located in the genital area (odds ratio [OR], 3.08; 95% confidence interval [CI], 1.37-6.90), breast (OR, 4.8; 95% CI, 1.08-21.4), or face (OR, 4.39; 95% CI, 1.86-10.3), and were more likely to be larger than 3 cm (OR, 3.66, 95% CI, 2.10-6.36). Patients who were admitted to the hospital were also more likely to have fever (OR, 5.93; 95% CI, 3.4-10.3) and have had a prior ED visit with the same complaint (OR, 3.81; 95% CI, 1.77-8.2). Seventy-seven percent of abscesses that were cultured were positive for methicillin-resistant Staphylococcus aureus. CONCLUSIONS: Size and location (especially those in the genital region, breast, and face), appear to be associated with admission for pediatric abscesses. History of fever and previous ED visit also appear to be associated with hospital admission. Obtaining blood cultures for pediatric abscesses is likely of little clinical benefit. SN - 1532-8171 UR - https://www.unboundmedicine.com/medline/citation/20708872/Pediatric_abscess_characteristics_associated_with_hospital_admission_from_the_ED_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0735-6757(10)00238-X DB - PRIME DP - Unbound Medicine ER -