What is the Utility of Point-of-Care Ultrasound for Diagnosis of Soft Tissue Abscess vs. Cellulitis?

IF 1.2 4区医学 Q3 EMERGENCY MEDICINE

Journal of Emergency Medicine Pub Date : 2025-05-01 DOI:10.1016/j.jemermed.2024.11.012

Kristine Jeffers MD , Samuel M. Keim MD, MS , Brit Long MD , Michael Gottlieb MD , Srikar R. Adhikari MD, MS

引用次数: 0

Abstract

Background

Skin and soft tissue infections (SSTIs) including cellulitis and abscess are common conditions managed in the emergency department, but differentiating these on history and physical examination alone can be challenging. Point-of-care ultrasound (POCUS) has been proposed as a tool to distinguish abscess from cellulitis.

Clinical Question

What is the utility of POCUS for diagnosing soft tissue abscess vs. cellulitis?

Evidence Review

Studies retrieved included four systematic reviews and meta-analyses evaluating the use of POCUS for diagnosing abscess. These studies provide estimates of the potential utility of POCUS in differentiating abscess and cellulitis.

Conclusion

Based upon the available literature, POCUS can reliably differentiate abscess and cellulitis and assist with management of SSTIs.

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即时超声诊断软组织脓肿与蜂窝织炎的效用是什么？

背景：皮肤和软组织感染（SSTIs）包括蜂窝织炎和脓肿是急诊科处理的常见疾病，但仅通过病史和体格检查来区分这些疾病可能具有挑战性。即时超声（POCUS）已被提出作为一种工具来区分脓肿和蜂窝织炎。POCUS在诊断软组织脓肿和蜂窝织炎中的作用是什么？证据回顾：检索到的研究包括四篇系统综述和荟萃分析，评估POCUS在诊断脓肿中的应用。这些研究估计了POCUS在鉴别脓肿和蜂窝织炎方面的潜在效用。结论根据现有文献，POCUS可以可靠地鉴别脓肿和蜂窝织炎，并有助于SSTIs的治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Emergency Medicine 医学-急救医学

CiteScore

2.40

自引率

6.70%

发文量

339

审稿时长

2-4 weeks

期刊介绍： The Journal of Emergency Medicine is an international, peer-reviewed publication featuring original contributions of interest to both the academic and practicing emergency physician. JEM, published monthly, contains research papers and clinical studies as well as articles focusing on the training of emergency physicians and on the practice of emergency medicine. The Journal features the following sections: • Original Contributions • Clinical Communications: Pediatric, Adult, OB/GYN • Selected Topics: Toxicology, Prehospital Care, The Difficult Airway, Aeromedical Emergencies, Disaster Medicine, Cardiology Commentary, Emergency Radiology, Critical Care, Sports Medicine, Wound Care • Techniques and Procedures • Technical Tips • Clinical Laboratory in Emergency Medicine • Pharmacology in Emergency Medicine • Case Presentations of the Harvard Emergency Medicine Residency • Visual Diagnosis in Emergency Medicine • Medical Classics • Emergency Forum • Editorial(s) • Letters to the Editor • Education • Administration of Emergency Medicine • International Emergency Medicine • Computers in Emergency Medicine • Violence: Recognition, Management, and Prevention • Ethics • Humanities and Medicine • American Academy of Emergency Medicine • AAEM Medical Student Forum • Book and Other Media Reviews • Calendar of Events • Abstracts • Trauma Reports • Ultrasound in Emergency Medicine