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- W2011128903 abstract "Determine treatment patterns of MRSA abscesses among academic emergency department (ED) faculty and factors that influence treatment options. Academic ED attending physicians from 15 institutions were sent an IRB-approved electronic survey. 126 of 127 attending physicians (99.2%) completed the survey instrument. Responses were evaluated by calculating the proportion for each answer and 95% confidence intervals where calculated using the modified-Wald technique. 53.5% (95%CI 44.9, 61.9) of those surveyed do not routinely culture abscesses. 61.4% (95% CI 52.7,69.4) reported that they do not routinely treat all abscesses with antibiotics. 92.1% (95% CI 85.9,95.8) believe that I & D alone is sufficient treatment for an uncomplicated abscess without erythema, but 51.6% (95% CI 42.9,60.1) stated they would still prescribe antibiotics. The preferred antibiotics were TMP-SMX (66.9%[95%CI58.1,74.7]), a combination of cephalexin and TMP-SMX (19%[95%CI12.9,27]), and clindamycin (13.2%[95%CI 8.2,20.6]. Factors influencing treatment choices ranked by importance included national guidelines, the institutions antibiogram, and recommendations from the institution's infectious disease specialists. 26.9% (95%CI 19.9,35.6) prescribed decolonization therapy with nasal mupiricin and chorhexadine washes. 11.9% (95%CI 7.2,18.8) reported that they routinely treat household contacts with decolonization therapy. The majority of academic ED faculty are not routinely culturing all abscesses. While a large majority feels that incision and drainage alone is adequate treatment for uncomplicated abscess without cellulitis, a majority still provide antibiotic therapy to treat MRSA. National guidelines and recommendations were identified as the factor that would most influence treatment, followed by the institution's antibiogram. A portion of the respondents stated that they routinely provide decolonization therapy to patients and their household contacts. Development of national guidelines for treatment of uncomplicated abscesses and the role of the ED in providing decolonization therapy may decrease potential use of unnecessary antibiotic therapy. Further studies evaluating the effect of ED-initiated decolonization therapy on patients and household contacts should be conducted." @default.
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- W2011128903 date "2011-10-01" @default.
- W2011128903 modified "2023-10-17" @default.
- W2011128903 title "340 Academic Emergency Department Treatment of Methicillin-Resistant Staphylococcus Aureus Abscesses" @default.
- W2011128903 doi "https://doi.org/10.1016/j.annemergmed.2011.06.371" @default.
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