Table 2.
Medical management and culture results at three pediatric care settings.
| Medical management | Academic Pediatric Hospital ED (n=200) | General Academic Pediatric ED (n=100) | Community ED (n=92) | P-value* |
|---|---|---|---|---|
| Underwent incision and drainage in ED, n, % | 92, 46% | 74, 74% | 50, 54% | < 0.0001 |
| Infiltrated anesthetic (lidocaine) | 23 of 92, 25% | 22 of 74, 30% | 34 of 50, 68% | < 0.0001 |
| Topical anesthetic cream | 53 of 92, 58% | 53 of 74, 72% | 0 | < 0.0001 |
| Procedural sedation used | 26 of 92, 28% | 24 of 74, 32% | 6 of 50, 12% | 0.04 |
| Packing placed in abscess cavity | 16 of 92, 17% | 39 of 74, 53% | 25 of 50, 50% | < 0.0001 |
| Wound culture obtained† | 126 of 156, 81% | 70 of 89, 79% | 18 of 63, 29% | < 0.0001 |
| Organisms obtained at culture | ||||
| MRSA | 74 of 126, 59% | 53 of 70, 76% | 11 of 18, 61% | 0.06 |
| MSSA | 28 of 126, 22% | 17 of 70, 24% | 5 of 18, 28% | 0.85 |
| Other organism(s) | 24 of 126, 19% | 0 | 2 of 18, 11% | 0.0005 |
*
χ2 used to compare patient management and organism characteristics at the three settings.
†
Wound culture percentages reflect only those patients who had a spontaneously draining abscess or underwent incision and drainage of their abscess, including in the operating room.
ED, emergency department; MRSA, methicillin-resistant Staphylococcus aureus; MSSA, methicillin-sensitive Staphylococcus aureus