The standard treatment for an uncomplicated skin or soft tissue<unk>  is the act of opening and draining. There does not appear to be any benefit from also using antibiotics in most cases. A small amount of evidence did not find a benefit from<unk> cking the<unk>  with gauze. Incision and drainage<unk>  five days after incision and drainage.<unk>  following curettage. The<unk>  should be inspected to identify if foreign objects are a cause, which may require their removal. If foreign objects are not the cause, incising and draining the<unk>  is standard treatment. In critical areas where surgery presents a high risk, it may be delayed or used as a last resort. The drainage of a lung<unk>  may be performed by positioning the affected individual in a way that enables the contents to be discharged via the respiratory tract. Warm compresses and elevation of the limb may be beneficial for a skin<unk> . Antibiotics Most people who have an uncomplicated skin<unk>  should not use antibiotics. Antibiotics in addition to standard incision and drainage is recommended in persons with severe<unk> es, many sites of infection, rapid disease progression, the presence of cellulitis, symptoms indicating bacterial illness throughout the body, or a health condition causing immunosuppression. People who are very young or very old may also need antibiotics. If the<unk>  does not heal only with incision and drainage, or if the<unk>  is in a place that is difficult to drain such as the face, hands, or genitals, then antibiotics may be indicated. In those cases of<unk>  which do require antibiotic treatment, Staphylococcus aureus bacteria is a common cause and an anti-staphylococcus antibiotic such as flucloxacillin or dicloxacillin is used. The Infectious Diseases Society of America advises that the draining of an<unk>  is not enough to address community-acquired methicillin-resistant Staphylococcus aureus (MRSA), and in those cases, traditional antibiotics may be ineffective. Alternative antibiotics effective against community-acquired MRSA often include clindamycin, doxycycline, minocycline, and trimethoprim-sulfamethoxazole. The American College of Emergency Physicians advises that typical cases of<unk>  from MRSA get no benefit from having antibiotic treatment in addition to the standard treatment. If the condition is thought to be cellulitis rather than an<unk> , consideration should be given to the possibility of the strep species as a cause, that are still sensitive to traditional anti-staphylococcus agents such as dicloxacillin or cephalexin. This would be in the case of people that are able to tolerate penicillin. Antibiotic therapy alone without surgical drainage of the<unk>  is seldom effective due to antibiotics often being unable to get into the<unk>  and their ineffectiveness at low pH levels. Culturing the wound is not needed if standard follow-up care can be provided after the incision and drainage. Performing a wound culture is unnecessary because it rarely gives information which can be used to guide treatment.<unk> cking In North America, after drainage, an<unk>  cavity is often<unk> cked, perhaps with cloth, in an attempt to protect the healing wound. However, evidence from emergency medicine literature reports that<unk> cking wounds after draining causes<unk> in to the person and does not decrease the rate of recurrence, nor bring faster healing, or fewer physician visits. Loop drainage More recently, several North American hospitals have opted for less-invasive loop drainage over standard drainage and wound<unk> cking. In one study of 143 pediatric outcomes, a failure rate of 1.4% was reported in the loop group versus 10.5% in the<unk> cking group (P<.030), while a separate study reported a 5.5% failure rate among the loop group. Primary closure Closing an<unk>  immediately after draining it appears to speed healing without increasing the risk of recurrence. This may not apply to anorectal<unk> es as while they may heal faster, there may be a higher rate of recurrence than those left open.
Abscess
Necrotizing fasciitis
Dilaceration
Cellulitis
Joint effusion
Sebaceous cyst
Thrombus
Phlegmon