Abscess Incision and Drainage

Chapter 6 Abscess Incision and Drainage



Common indications


An abscess is a localized infection characterized by a collection of pus surrounded by inflamed tissue. A small abscess may respond to warm compresses or antibiotics and drain spontaneously. However, the treatment of choice for an abscess is incision and drainage (I & D). If this treatment is done properly, antibiotics are usually unnecessary.



Equipment


A local anesthetic, such as 1% to 2% lidocaine, is used for this procedure. A syringe with a 25- to 30-gauge needle, usually ½ to 1 in., is ideal because only the skin over the abscess is anesthetized. Other materials include an alcohol or povidone-iodine wipe, 4×4-in. gauze, No. 11 or 15 blade, curved hemostats, packing gauze, and, possibly, culture materials (Figure 6-1).


image

FIGURE 6-1 Equipment.



Key steps



1. Prepare skin: Prepare the abscess area with povidone-iodine or alcohol. Carefully palpate the abscess to accurately determine the size and location (Figure 6-2). Use protective eyewear. Purulent material can “squirt out” if pressure is applied.

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Dec 12, 2016 | Posted by in GENERAL & FAMILY MEDICINE | Comments Off on Abscess Incision and Drainage

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