Provider Prepared’s Weekly Pearl of Wound Wisdom #22
In general, an acute uncomplicated paronychia with abscess is treated with incision and drainage. After performing a digital block a number 11 blade is inserted under the affected cuticle margin, extending an incision along the lateral nail fold. Following incision and drainage, frequent warm soaks should be done to promote ongoing drainage.
Goldstein, BE et al. Paronychia. UpToDate December 2017.
Patients at risk for complicating infections should be placed on appropriate antibiotic treatment following incision and drainage.
Provider Prepared laceration kits with Lidocaine give you all the tools of the trade for management of paronychia at home!
Nathan Whittaker, MD
- Brandon Durfee