title: Ultrasound soft-tissue applications in the pediatric emergency department: to drain or not to drain?
abstract: Soft tissue infections frequently prompt visits to the pediatric emergency department. The incidence of these infections has increased markedly in recent years. The emergence of community-acquired methicillin-resistant Staphylococcus aureus is associated with an increasing morbidity, mortality, and frequency of abscess formation. Bedside ultrasound may have a significant impact in the management of patients that present to the pediatric emergency department with soft tissue infections, including cellulitis, cutaneous abscess, peritonsillar abscess, and necrotizing fasciitis. Ultrasound is an efficient, noninvasive diagnostic tool which can augment the physician's clinical examination. Ultrasound has been shown to be superior to clinical judgment alone in determining the presence or the absence of occult abscess formation, ensuring appropriate management and limiting unnecessary invasive procedures.
authors.affiliation: Department of Pediatrics, Division of Pediatric Emergency Medicine, Boston Medical Center, Boston University School of Medicine, Boston, MA 02118, USA. daniela.ramirez-schrempp@bmc.org
authors.forename: Daniela
authors.initials: D
authors.lastname: Ramirez-Schrempp
authors.forename: David H
authors.initials: DH
authors.lastname: Dorfman
authors.forename: William E
authors.initials: WE
authors.lastname: Baker
authors.forename: Andrew S
authors.initials: AS
authors.lastname: Liteplo
mesh_terms: D000038:Abscess / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000453:epidemiology / Q000601:surgery; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002481:Cellulitis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000453:epidemiology / Q000601:surgery; D002675:Child, Preschool; D003131:Combined Modality Therapy; D004322:Drainage; D004636:Emergency Service, Hospital; D019115:Fasciitis, Necrotizing / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000453:epidemiology / Q000601:surgery; D006801:Humans; D055624:Methicillin-Resistant Staphylococcus aureus; D000039:Peritonsillar Abscess / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000453:epidemiology / Q000601:surgery; D019095:Point-of-Care Systems; D011237:Predictive Value of Tests; D012680:Sensitivity and Specificity; D017192:Skin Diseases, Bacterial / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000453:epidemiology / Q000601:surgery; D018461:Soft Tissue Infections / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000453:epidemiology / Q000601:surgery; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000453:epidemiology / Q000601:surgery; D014463:Ultrasonography
chemical_list: D000900:Anti-Bacterial Agents