A Trust-Wide Breast Abscess Management and Referral Pathway
Association of Breast Surgery ePoster Library. Merh R. 05/13/19; 257125; P081
Ms. Radhika Merh
REGULAR CONTENT
Login now to access Regular content available to all registered users.
Abstract
Discussion Forum (0)
Rate & Comment (0)
P081
Topic: Diagnosis/ Referral
Introduction: NICE guidelines advise that patients presenting with breast abscesses are managed by ultrasound assessment followed by ultrasound guided-aspiration or incision and drainage. At Maidstone and Tunbridge Wells (MTW) NHS Trust, ultrasound for breast abscesses is only routinely performed by breast radiologists during one-stop breast clinics (OSBC). We sought to develop a referral pathway (RP) for patients who present to their GP or A&E to enable timely assessment and a standard operating procedure (SOP) for the emergency general surgical (GS) team. Methods : The RP, SOP and patient information leaflets (PIL) were developed after consultation with the emergency GS, breast and microbiology services within the MTW Trust. Ratification was through presentation at Breast and GS Clinical Governance meetings. Results: GPs, A&E clinicians and on-call general surgeons can make a referral to OSBC via direct access telephone numbers (Monday-Friday) or an out-of-hours e-mail referral system. Patients are provided with PIL and booked into the next available OSBC slot within 48 hours of their initial assessment. Systemically unwell patients or those requiring immediate incision and drainage (i.e. threatened necrotic skin, partial rupture or spreading cellulitis) are admitted under the acute GS team, with SOP made available to guide their management.Conclusion: We report the development of a breast abscess RP and SOP that is currently operational at MTW. Further work will be required to assess on going feasibility of this system, at which point it could be used as a model for other Trusts seeking to set up a similar service.
Topic: Diagnosis/ Referral
Introduction: NICE guidelines advise that patients presenting with breast abscesses are managed by ultrasound assessment followed by ultrasound guided-aspiration or incision and drainage. At Maidstone and Tunbridge Wells (MTW) NHS Trust, ultrasound for breast abscesses is only routinely performed by breast radiologists during one-stop breast clinics (OSBC). We sought to develop a referral pathway (RP) for patients who present to their GP or A&E to enable timely assessment and a standard operating procedure (SOP) for the emergency general surgical (GS) team. Methods : The RP, SOP and patient information leaflets (PIL) were developed after consultation with the emergency GS, breast and microbiology services within the MTW Trust. Ratification was through presentation at Breast and GS Clinical Governance meetings. Results: GPs, A&E clinicians and on-call general surgeons can make a referral to OSBC via direct access telephone numbers (Monday-Friday) or an out-of-hours e-mail referral system. Patients are provided with PIL and booked into the next available OSBC slot within 48 hours of their initial assessment. Systemically unwell patients or those requiring immediate incision and drainage (i.e. threatened necrotic skin, partial rupture or spreading cellulitis) are admitted under the acute GS team, with SOP made available to guide their management.Conclusion: We report the development of a breast abscess RP and SOP that is currently operational at MTW. Further work will be required to assess on going feasibility of this system, at which point it could be used as a model for other Trusts seeking to set up a similar service.
P081
Topic: Diagnosis/ Referral
Introduction: NICE guidelines advise that patients presenting with breast abscesses are managed by ultrasound assessment followed by ultrasound guided-aspiration or incision and drainage. At Maidstone and Tunbridge Wells (MTW) NHS Trust, ultrasound for breast abscesses is only routinely performed by breast radiologists during one-stop breast clinics (OSBC). We sought to develop a referral pathway (RP) for patients who present to their GP or A&E to enable timely assessment and a standard operating procedure (SOP) for the emergency general surgical (GS) team. Methods : The RP, SOP and patient information leaflets (PIL) were developed after consultation with the emergency GS, breast and microbiology services within the MTW Trust. Ratification was through presentation at Breast and GS Clinical Governance meetings. Results: GPs, A&E clinicians and on-call general surgeons can make a referral to OSBC via direct access telephone numbers (Monday-Friday) or an out-of-hours e-mail referral system. Patients are provided with PIL and booked into the next available OSBC slot within 48 hours of their initial assessment. Systemically unwell patients or those requiring immediate incision and drainage (i.e. threatened necrotic skin, partial rupture or spreading cellulitis) are admitted under the acute GS team, with SOP made available to guide their management.Conclusion: We report the development of a breast abscess RP and SOP that is currently operational at MTW. Further work will be required to assess on going feasibility of this system, at which point it could be used as a model for other Trusts seeking to set up a similar service.
Topic: Diagnosis/ Referral
Introduction: NICE guidelines advise that patients presenting with breast abscesses are managed by ultrasound assessment followed by ultrasound guided-aspiration or incision and drainage. At Maidstone and Tunbridge Wells (MTW) NHS Trust, ultrasound for breast abscesses is only routinely performed by breast radiologists during one-stop breast clinics (OSBC). We sought to develop a referral pathway (RP) for patients who present to their GP or A&E to enable timely assessment and a standard operating procedure (SOP) for the emergency general surgical (GS) team. Methods : The RP, SOP and patient information leaflets (PIL) were developed after consultation with the emergency GS, breast and microbiology services within the MTW Trust. Ratification was through presentation at Breast and GS Clinical Governance meetings. Results: GPs, A&E clinicians and on-call general surgeons can make a referral to OSBC via direct access telephone numbers (Monday-Friday) or an out-of-hours e-mail referral system. Patients are provided with PIL and booked into the next available OSBC slot within 48 hours of their initial assessment. Systemically unwell patients or those requiring immediate incision and drainage (i.e. threatened necrotic skin, partial rupture or spreading cellulitis) are admitted under the acute GS team, with SOP made available to guide their management.Conclusion: We report the development of a breast abscess RP and SOP that is currently operational at MTW. Further work will be required to assess on going feasibility of this system, at which point it could be used as a model for other Trusts seeking to set up a similar service.
Code of conduct/disclaimer available in General Terms & Conditions
{{ help_message }}
{{filter}}