- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02822768
Packing Versus no Packing for Cutaneous Abscess
January 22, 2026 updated by: University of California, San Francisco
Is Routine Packing of Cutaneous Abscesses Necessary?
The goal of this study is to examine patients undergoing incision and drainage of cutaneous abscesses to determine if routine packing of the abscess cavity affects the need for further interventions such as repeat incision and drainage, antibiotic administration or hospital admission.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
Study protocol:
- Identification of a patient with a cutaneous abscess requiring incision and drainage
- Written consent obtained from the patient
Study materials will be obtained
- Enrolling physician fills out pre-procedure information (see data sheet)
Enrollment data sheet has instructions indicating whether patient is to receive packing or not
- Use of random number generator to randomize all packets
- Provider does abscess incision and drainage with or without packing according to the instructions
- Enrolling physician fills out post-procedure information (see data sheet)
- Patient returns within 48 hours for wound check with removal of packing if performed
Research coordinator or study physician calls the patient within 14 and 30 days after the procedure for follow-up
- Information from a return visit and/or the telephone follow-up
Study Type
Interventional
Enrollment (Estimated)
196
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Michael Darracq, MD, MPH
- Phone Number: 559-499-6440
- Email: mdarracq@fresno.ucsf.edu
Study Contact Backup
- Name: Jannet Castaneda, BA
- Phone Number: 559-499-6435
- Email: jcastaneda@fresno.ucsf.edu
Study Locations
-
-
California
-
Fresno, California, United States, 93701
- Recruiting
- Community Regional Medical Center
-
Contact:
- Michael Darracq, MD, MPH
- Phone Number: 559-499-6432
- Email: mdarracq@fresno.ucsf.edu
-
Contact:
- Jannet Castaneda, BA
- Phone Number: 559-499-6435
- Email: jcastaneda@fresno.ucsf.edu
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- All patients 18 years of age and above
- Patients that require a cutaneous abscess incision and drainage
- English-speaking subjects only
Exclusion Criteria:
- Unable to return for 48-hour follow-up.
- Patients being admitted to the hospital or going to the operating room for incision and drainage
- Pregnant patients
- Patients less than 18 years of age
- Prisoners or persons in police custody
- Patients with infected bursa
- Non-English speaking subjects
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Active Comparator: Packing
The patient is to have a long piece of gauze within the abscess cavity in an attempt to keep it open and allow purulent material to continue to drain after the initial incision and release of purulent material has been performed.
|
The patient will receive packing as part of their wound care
|
|
Placebo Comparator: No packing
The patient is not to have packing of the abscess as part of the incision and drainage procedure
|
The patient will not receive packing as part of their wound care
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentage of patients needing further treatment
Time Frame: 14 days
|
follow-up call to determine if patient required further treatment beyond routine care
|
14 days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Visual Analog Scale for Pain (VAS pain) post procedure
Time Frame: 14 days
|
Measure pain score after procedure
|
14 days
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Michael Darracq, MD, MPH, UCSF - Fresno
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Stewart MP, Laing MR, Krukowski ZH. Treatment of acute abscesses by incision, curettage and primary suture without antibiotics: a controlled clinical trial. Br J Surg. 1985 Jan;72(1):66-7. doi: 10.1002/bjs.1800720125.
- Abraham N, Doudle M, Carson P. Open versus closed surgical treatment of abscesses: a controlled clinical trial. Aust N Z J Surg. 1997 Apr;67(4):173-6. doi: 10.1111/j.1445-2197.1997.tb01934.x.
- O'Malley GF, Dominici P, Giraldo P, Aguilera E, Verma M, Lares C, Burger P, Williams E. Routine packing of simple cutaneous abscesses is painful and probably unnecessary. Acad Emerg Med. 2009 May;16(5):470-3. doi: 10.1111/j.1553-2712.2009.00409.x. Epub 2009 Apr 10.
- Barnes SM, Milsom PL. Abscesses: an open and shut case! Arch Emerg Med. 1988 Dec;5(4):200-5. doi: 10.1136/emj.5.4.200.
- Simms MH, Curran F, Johnson RA, Oates J, Givel JC, Chabloz R, ALexander-Williams J. Treatment of acute abscesses in the casualty department. Br Med J (Clin Res Ed). 1982 Jun 19;284(6332):1827-9. doi: 10.1136/bmj.284.6332.1827.
- Sorensen C, Hjortrup A, Moesgaard F, Lykkegaard-Nielsen M. Linear incision and curettage vs. deroofing and drainage in subcutaneous abscess. A randomized clinical trial. Acta Chir Scand. 1987 Nov-Dec;153(11-12):659-60.
- Tonkin DM, Murphy E, Brooke-Smith M, Hollington P, Rieger N, Hockley S, Richardson N, Wattchow DA. Perianal abscess: a pilot study comparing packing with nonpacking of the abscess cavity. Dis Colon Rectum. 2004 Sep;47(9):1510-4. doi: 10.1007/s10350-004-0620-1. Epub 2004 Jul 8.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
August 1, 2016
Primary Completion (Estimated)
April 1, 2026
Study Completion (Estimated)
April 1, 2026
Study Registration Dates
First Submitted
June 30, 2016
First Submitted That Met QC Criteria
July 1, 2016
First Posted (Estimated)
July 4, 2016
Study Record Updates
Last Update Posted (Actual)
January 26, 2026
Last Update Submitted That Met QC Criteria
January 22, 2026
Last Verified
January 1, 2026
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2016052
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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