Re: Antibiotics after incision and drainage for uncomplicated skin abscesses: a clinical practice guideline
I am surprised and very disappointed by these recommendations. No endpoints were identified for this review although pain, recurrence, treatment failure, hospitalisations and cross contamination seem to have been retrospectively looked for. Antibiotics are not analgesics and recurrence or treatment failure (as opposed to a new abscess due to an underlying condition) are best avoided by properly performed I & D. To recommend antibiotics for a "modest" reduction in pain and treatment failure and a "probable" reduction in recurrence demonstrates unquantifiable gains and hence is of no help for a patient's decision and is not an appropriate treatment response to inadequate minor surgical technique. We should address the problem (inadequate I&D) and not accommodate it (with additional therapy) and increase the risk of further antimicrobial resistance.
Competing interests: No competing interests