Li Mingming, Zhu Xia, Cao Zhiqiang, Du Lingyun, Wei Jingjing, Zhang Chunhong
Department of Dermato-Venereology, the Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan, People's Republic of China.
Infect Drug Resist. 2023 Jun 12;16:3683-3692. doi: 10.2147/IDR.S416917. eCollection 2023.
Skin abscesses are a common skin condition usually caused by bacterial infections and their incidence is increasing in children. Its current management strategy is still mainly incision and drainage, sometimes with antibiotics. In pediatric patients, surgical incision and drainage of skin abscesses is challenging compared to in adults because of their specific age and psychological characteristics and high aesthetic requirements. Therefore, it is important to seek better treatment options.
We reported 17 cases of skin abscesses in pediatric patients aged 1 to 9 years. Ten cases had lesions on the face and neck and 7 cases on the trunk and limbs. They all received treatment based on fire needle combined with topical mupirocin.
The lesions of all 17 pediatric patients healed within 4 to 14 days, with a median time of 6 days, and all achieved satisfactory results with no scarring left behind. No adverse events were observed in all patients, and no recurrence occurred within 4 weeks.
For skin abscesses in pediatric patients, early application of a combination therapy based on fire needle is convenient, aesthetic, economical, safe and clinically important as an alternative to incision and drainage, and deserves further clinical promotion.
皮肤脓肿是一种常见的皮肤疾病，通常由细菌感染引起，且在儿童中的发病率呈上升趋势。其目前的治疗策略仍主要是切开引流，有时会联合使用抗生素。在儿科患者中，由于其特殊的年龄、心理特点以及较高的美观需求，皮肤脓肿的外科切开引流相较于成人更具挑战性。因此，寻求更好的治疗方案很重要。
我们报告了17例年龄在1至9岁的儿科皮肤脓肿患者。10例患者的病变位于面部和颈部，7例位于躯干和四肢。他们均接受了火针联合外用莫匹罗星的治疗。
17例儿科患者的病变均在4至14天内愈合，中位时间为6天，且所有患者均取得了满意的效果，无瘢痕残留。所有患者均未观察到不良事件，且在4周内无复发。
对于儿科患者的皮肤脓肿，早期应用基于火针的联合治疗方便、美观、经济、安全，作为切开引流的替代方法具有临床重要性，值得进一步临床推广。
