Incision and drainage

Clinical lancing

Adjunct antibiotics[edit]

Uncomplicated cutaneous abscesses do not need antibiotics after successful drainage.[1][2][3]

In incisional abscesses[edit]

For incisional abscesses, it is recommended that incision and drainage is followed by covering the area with a thin layer of gauze followed by sterile dressing. The dressing should be changed and the wound irrigated with normal saline at least twice each day.[4] In addition, it is recommended to administer an antibiotic active against staphylococci and streptococci, preferably vancomycin when there is a risk of methicillin-resistant Staphylococcus aureus.[4] The wound can be allowed to close by secondary intention. Alternatively, if the infection is cleared and healthy granulation tissue is evident at the base of the wound, the edges of the incision may be reapproximated, such as by using butterfly stitches, staples or sutures.[4]

Drain (surgery)

Ubi pus, ibi evacua