Management of skin abscesses by primary care pediatricians

Clin Pediatr (Phila). 2011 Jun;50(6):525-8. doi: 10.1177/0009922810394837. Epub 2011 Jan 23.

Abstract

Background: Staphylococcus aureus is a common cause of skin abscesses.

Objective: To evaluate primary care pediatricians' management of skin abscesses.

Methods: A national mail survey of a random sample of 385 general pediatricians conducted from April to June 2010.

Results: The response rate was 49%. Most respondents (72%) were aware that the Centers for Disease Control and Prevention has recommendations for the management of soft tissue infections. Only 10% reported that no one in their practice could perform incision and drainage an uncomplicated abscess. Approximately one third (34%) reported that it is too time consuming to do so. About half (55%) were interested in further training in abscess management.

Conclusion: Although most primary care pediatric practices are prepared to manage uncomplicated abscesses, more than half were interested in further training in the management of this condition. A comprehensive training program of skin infections could not only improve abscess management but also decrease barriers related to such care.

MeSH terms

  • Abscess / microbiology
  • Abscess / therapy*
  • Adult
  • Child
  • Female
  • Health Care Surveys
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Male
  • Pediatrics* / methods
  • Pediatrics* / standards
  • Physicians
  • Practice Patterns, Physicians'*
  • Primary Health Care* / methods
  • Primary Health Care* / standards
  • Skin Diseases, Infectious / microbiology
  • Skin Diseases, Infectious / therapy*
  • Staphylococcus aureus / isolation & purification