Management of Skin Abscesses in the Era of Methicillin-Resistant Staphylococcus aureus
N Engl J Med 2014; 370:1039-1047
The authors of this article summarize the literature thusly:
- Incision & drainage is definitive treatment. Non-complicated disease does not require additional antibiotic treatment, although the evidence is not strong.
- Packing of abscesses is a matter of tradition, and evidence is neither sufficient to conclusively confirm nor refute this practice.
- Primary closure of abscesses after I&D is reasonable, particularly for larger, exposed, and cosmetically important areas.
- Antibiotic coverage for primarily cellulitic soft-tissue infections ideally includes streptococcal coverage
- Wound cultures are not necessary.