Trial of Septra for Uncomplicated Skin Abscesses in Patients at Risk for Community Acquired Methicillin-Resistant Staphylococcus Aureus Infection

All patients will receive incision and drainage and wound cultures. Patients will then be
randomized to 1) septa double strength two pills orally twice a day x 7 days or 2)placebo.
Patients will then return to the emergency room on days 3 and 7 for wound repacking and
evaluation. The primary outcome recurrence rates within 30 days of treatment. Patients who
are not improving at the following visit will then be treated with additional antibiotics if
needed. Data will be analyzed both by initial randomization and intention to treat.

Inclusion Criteria:

- All patients age 18-65 who present to the emergency department with a skin abscess
that requires incision and drainage.

Exclusion Criteria:

- Patients with diabetes, HIV, cancer or other immunocompromised patients.

- Additionally, any patients who received antibiotics within one week of presentation
or were hospitalized in previous month will be excluded to minimize potential
confounding variables.

- Pregnant and breastfeeding patients will also be excluded due to possible safety
concerns with antibiotic treatment.

- Patients with abscesses on head, face, perirectal, or periananal regions, abscesses
with known tracks or fistulas to deeper structures, or abscesses requiring surgical
drainage in an operating room are excluded.

- Finally, patients with sulfa allergy will be excluded.