Breast abscesses are an unfortunate pathology that develop in patients, and treatment is often painful and unpleasant. The goal of this study is to identify risk factors associated with failure of aspiration as a primary intervention as opposed to incision and drainage in the hopes of adequately treating patients at initial presentation.
The pendulum has now swung toward minimally invasive aspiration as the primary treatment modality, with multiple studies reporting superior cosmetic results. However, patients in these studies often required repeat breast aspirations, and sometimes ultimately required incision and drainage. Aspiration first for treatment of breast abscess may not be a wise choice for all patients if it results in increased antibiotic days, return to emergency department (ED)/increased cost, or prolonged pain from multiple procedures. Several studies have identified varying risk factors for aspiration failure as primary intervention for breast abscesses. More data is needed to confirm the true risk factors for failure.
Study Type
OBSERVATIONAL
Enrollment
500
Clinical Research Institute at Methodist Health System
Dallas, Texas, United States
RECRUITINGMethodist Dallas Medical Center
Dallas, Texas, United States
RECRUITINGNumber of repeat interventions prior to resolution of abscess(s)
Determine the superiority of aspiration vs incision as primary intervention in treatment of breast abscesses
Time frame: 5 years
Antibiotic days
number of days used antibiotics
Time frame: 5 years
Repeat aspiration
Frequency of aspiration
Time frame: 5 years
Return to Emergency Department ( ED)
Number of times of ED visit
Time frame: 5 years
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