Cutaneous abscesses. Anaerobic and aerobic bacteriology and outpatient management

H. W. Meislin, S. A. Lerner, M. H. Graves, M. D. McGehee, F. E. Kocka, J. A. Morello, P. Rosen

Research output: Contribution to journalArticle

117 Scopus citations

Abstract

Specimens from 135 cutaneous abscesses in outpatients were cultured anaerobically and aerobically. Of these, 4% were sterile and 29% yielded pure cultures, predominantly of Staphylococcus aureus. Aerobic species were isolated from all anatomic areas. Anaerobes were found with a frequency comparable to aerobes in all nonperineal areas except the hand. In contrast, abscesses in the perineal region contained a greater variety and frequency of anaerobes. Only two patients were febrile. All abscesses were treated with incision and drainage, and all healed without complication, including those 74% that were treated without adjunctive antibiotics. Primary management of cutaneous abscesses should be incision and drainage. In general, routine culture and antibiotic therapy are not indicated for localized abscesses in patients with presumably normal host defenses.

Original languageEnglish (US)
Pages (from-to)145-149
Number of pages5
JournalUnknown Journal
Volume87
Issue number2
DOIs
StatePublished - Jan 1 1977
Externally publishedYes

ASJC Scopus subject areas

  • Internal Medicine

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    Meislin, H. W., Lerner, S. A., Graves, M. H., McGehee, M. D., Kocka, F. E., Morello, J. A., & Rosen, P. (1977). Cutaneous abscesses. Anaerobic and aerobic bacteriology and outpatient management. Unknown Journal, 87(2), 145-149. https://doi.org/10.7326/0003-4819-87-2-145