Pediatric emergency medicine trisk 0417 0417

avoid skin creams or talcum powders. The majority of patients are treated
successfully as outpatients with a follow-up appointment in 2 to 3 days to ensure
the infection is improving. Ill patients or those failing outpatient antibiotic
therapy, require hospital admission for intravenous antibiotics. Ultrasound
confirms the presence of a breast abscess. Breast abscesses should be drained via
needle aspiration by a surgical specialist; incision and drainage are rarely
necessary. In the well-appearing older child or adolescent with breast abscess,
ultrasound-guided needle aspiration has proven equivalent to surgical incision
and drainage while minimizing breast damage. Therefore, aspiration in
combination with antibiotics has become the treatment of choice. ED point-ofcare ultrasound (POCUS) with guided needle aspiration of breast abscesses is a
promising treatment strategy but requires further evaluation.