**2. Original of abscess**

The abscess arise in many tissues and organs of the body, the most important of which are subcutaneous tissue, lymph nodes, soft and adipose tissue around the anus, and breasts in pregnant or lactating women and at the root of the teeth. Cysts can also arise in internal organs such as the liver, lung, brain, kidney and appendix. The abscess has spread significantly in recent years [6]. And the risk factor has been more than 65% including the use of intravenous drugs. In 2005, Dermatology departments received more than 3.2 million people with abscess in the United States [7], while in Australia, about 13,000 patients were hospitalized [8]. Cysts arise in many tissues and organs of the body, the most important of which are subcutaneous tissues (then they are superficially dimple or deep), such as liver, lung, brain abscess, kidney, and appendix. The most important complication is the spread of the abscess (pus) to neighboring tissues by means of treatment tools, which may sometimes cause the death of these tissues (gangrene). Acute inflammation of the abscess originates from the entry of pus bacteria into the affected organ or tissue. Surface cysts are swollen red and painful, accompanied by high fever and pulse [9]. The abscess can also be fatal in rare cases, such as when it is in an area where pressure on vital organs such as the trachea in the case of abscess in the neck area. If the abscess is superficial, it will fluctuate during palpation due to the movement of pus inside. A contributing factor to the formation of an abscess in addition to the use of intravenous drugs [10]. An unconfirmed study suggests that the presence of previous cases of hernia of the vertebrae or any imbalance thereof [11]. While the main cause is pathogenic bacteria, fungi or parasites, the most common cause is methicillin-resistant *Staphylococcus aureus* in the United States and other parts of the world [6]. *Staphylococcus aureus* causes subdural abscesses and parasites to cause abscess, especially in developing countries [12].

## **3. Epidemiology of skin abscesses**

Because of changing the display skin abscess, it was difficult to assess the incidence and prevalence. The incidence of skin abscess is 24.6 per 1000 people per year [13]. Because the majority of the ski abscess tends to melt within 7–10 days, the estimate variable spread significantly. Among patients in hospitals, the rate of prevalence ranges from abscess skiing 7–10% [14, 15]. Among all patients infected in hospitals only infections, skin abscess plays a more important role. Emergency care center, an outlying ski, is the third most common diagnoses after chest pain and asthma [16]. There is an increase in the prevalence rate of men (60–70% of all cases) and patients aged between 45 and 64 years old. It managed approximately 70–75% of all cases in the outpatient setting [13, 16]. With many cases of skin abscess involving the lower leg area (7.9–11). In general, the incidence of benign tumors complex is low (Arasepelas 0.09 per 1000 people per year; inflammation of the lymphatic vessels is 0.16% of all cases of inflammation of cellular tissue and the lymphatic vessels. 16 per 1000 people per year and fasciitis necrotizing 0.04 per 1000 person-years) [13].

The real spread of abscess skin infection is unknown because the light is usually self-occurrence and patients seeking medical care. However, often they face skin abscess in the outpatient and inpatient. According to national statistics for 2011 regarding the cost of health care project and use, skin abscess rate led to 3.4 million visits to the emergency department, or 2.6% of the total emergency department visits, with 13.9% of visits have led to hospitalization [17].

They have caused the infection, skin and soft tissue as well as the case of 500,000 outside the hospital, or 1.4% of total departures, with an average length of stay of 3.7 days and an average cost of \$ 18.299 per case. These figures are on the rise due to the prevalence of *Staphylococcus aureus* resistant to methicillin-associated Balmethycelin in the past decade [18–21].

A recent prospective study showed that one out of every 5 patients provide primary care clinic for skin abscess caused by *Staphylococcus aureus* resistant to methicillin (MRSA) require additional interventions at a cost of approximately \$ 2000 per patient [22].
