Inflamed finger. Causes of an abscess on the finger near the nail: how to treat with medicines and folk methods

Content

A splinter or injury to the finger can easily fester down to the bone. In medicine, this inflammatory process called panaritium. Pathology occurs because pathogenic microorganisms enter the body through damaged integuments. In the absence of proper disinfection, purulent inflammation develops, which can spread to tendons, bones, muscles, joints, and even lead to necrotic processes.

What is panaritium on the finger

Purulent acute inflammatory process, which is localized on the fingers upper limbs, less often - on the lower ones, they are called panaritium. Inflammation on the back of the hand does not apply to this disease. More often men and women from 20 to 50 years old suffer from panaritium. This is due to the fact that at this age people often get microtrauma of the skin on their hands. The disease associated with injuries at work develops in 75%, at home - 10%, and all other cases account for only 15%.

Many important anatomical formations are located on the palmar surface of the fingers: joint capsules, vessels, nerves, tendon sheaths and tendons. The subcutaneous tissue in this area also has a special structure - multiple strong and elastic fibers go to the palmar aponeurosis from the skin. In its thickness are located longitudinal bundles connective tissue.

As a result, fiber is separated by small bridges resembling a honeycomb. This structure not only helps to prevent the spread of inflammation, but also creates favorable conditions to penetrate deep into tissues purulent process. For this reason, during the development of the disease, bones, tendons, joints and other tissues of the hand can be quickly involved in the pathological process.

Panaritium on the finger develops as a result of the spread of pyogenic microorganisms in the tissues (more often - Staphylococcus aureus). During the development of the disease, redness of the lesion site, swelling, and soreness are noted. In severe form, there is an increase in temperature, chills. On the early stage inflammatory process is assigned conservative treatment, at a later stage, surgical intervention is performed.

The reasons

In addition to staphylococcus, panaritium can cause streptococci, proteus, Pseudomonas aeruginosa and other pathological microorganisms. The infection gets inside skin through small cracks and abrasions on the palmar surface of the finger. A person gets wounds during a manicure, a puncture of the skin due to fish bones, wood chips, metal shavings and other sharp objects. The infection also penetrates through a finger burn, which occurs when fire or hot objects are used carelessly.

Some wounds sometimes go unnoticed or look insignificant. The patient does not pay attention to them until the first symptoms of panaritium appear. To internal reasons the onset of the disease include hypovitaminosis, endocrine pathologies, malnutrition of tissues, and a decrease in general immunity. Panaritium on the fingers can also develop due to external factors. These include:

  • systematic hypothermia;
  • violation of the innervation of the finger, hand;
  • maceration of the epidermis (swelling and/or loosening);
  • skin contamination;
  • exposure to irritants;
  • violation of the blood supply to the hand, which is carried out by the radial and ulnar arteries;
  • excessive hydration of the skin.

Classification

Taking into account the nature and location of the affected tissues, physicians distinguish the following types of disease:

  • Skin panaritium. The mildest form of pathology, when an abscess forms in the epidermis.
  • Subcutaneous felon. Purulent contents appear in subcutaneous tissue located on the dense palmar surface of the fingers.
  • Periungual felon (paronychia). The inflammatory process develops in the area of ​​the periungual roller.
  • Subungual felon. Suppuration occurs under the nail plate.
  • Articular panaritium. The pathological process develops in the metacarpophalangeal or interphalangeal joints.
  • Bone panaritium. Bones are involved in the purulent-inflammatory process.
  • Tendon panaritium. The disease is localized in the tendon.
  • Pandactylitis. The most severe form of the disease, in which a purulent-necrotic process develops in all tissues of the finger.

Symptoms

Depending on the level of the lesion and the location of the injury, the symptoms of panaritium have several varieties:

Type of panaritium

Symptoms of the disease

Only the skin is affected. At the site of injury, there is first a slight soreness, tingling. As the pathology progresses, the pain intensifies, then becomes constant.

Subcutaneous

Occurs in 35% of cases. The pathological process develops in subcutaneous fat layer. Symptoms of the disease appear on the 5-10th day, which complicates the diagnosis. First there is a feeling of burning and bursting. Then there is a slight pulling and throbbing pain, which intensifies when lowering the arm down. As the disease progresses, local edema, soft tissue tension, and an increase in body temperature are noted. Rarely, redness of the skin is observed.

Periungual

Inflammation of the periungual roller occurs due to stab wounds or tearing of the barbs. The process develops both on the surface of the skin and in the deep layers of the epidermis. On the 4-6th day after the injury, a superficial form occurs. The patient has severe pain, the skin turns red, pus is visible through it. With a deep form of the disease, purulent exudate rushes inward, affecting the nail.

subungual

It develops as a result of a splinter getting under the nail or because of the habit of biting the nail plates. At the site of the lesion, a pronounced throbbing pain, burning sensation quickly appears. Pus may show through the nail. There is reddening of the periungual roller, swelling of the fingertip. After 2 days, peeling of the nail plate is observed in a significant area.

Articular

Purulent inflammation of the joint, which connects the bones of the wrist and the phalanx of the finger, occurs due to a deep stab wound or infection. At the same time, the phalanges are involved in the pathological process, so the pathology often proceeds along with bone panaritium. Pain occurs at the site of the lesion, which increases with the movement of the finger. Increases redness, swelling of the joint, which spreads to neighboring tissues. When the finger moves, a crisp sound is heard - this is the ligaments involved in the process. Growing symptoms of general intoxication: nausea, palpitations, headache, heat body.

It occurs as a result of complications of the subcutaneous type of pathology. The main symptom is pronounced pain at the site of the lesion. The finger is very swollen, the phalanx looks like a sausage. The temperature rises, patients complain of headache, general malaise.

Tendinous

It develops as a result of a subcutaneous type of pathology or after injuries. Already after 2 hours there is a sharp throbbing pain, aggravated by movement. Edema grows rapidly, spreading to the palmar and dorsum of the finger, which assumes a half-bent state. The skin turns red, there are pain along the tendon sheath. As the disease progresses, symptoms of intoxication of the body appear: headache, fever.

pandactylitis

The disease progresses severely, accompanied by elevated temperature, axillary or regional lymphadenitis. The pain intensifies gradually, becomes excruciating, bursting in nature. The edematous finger becomes blue-purple in color. The inflammatory process develops according to the type of dry and wet necrosis (necrosis). An attempt to any movement entails an increase in pain.

Complications

It is undesirable to take independent measures to treat purulent inflammation of the finger. To avoid serious consequences of panaritium, it is necessary to consult a doctor. If the purulent-inflammatory process is started, then it can lead to complications. Treatment should be started at the first signs of the inflammatory process, otherwise pathologies such as thrombophlebitis, osteomyelitis, lymphadenitis, hand phlegmon, joint contracture may occur. A deep purulent-inflammatory lesion often leads to blood poisoning, sepsis.

Extreme care when performing a manicure must be observed by a pregnant woman, because the infection during infection can pass to the child. It is better to completely refuse the services of salons while waiting for the baby. When infected with an infection, panaritium can lead to bone phlegmon, which is treated only surgically. The disease in an advanced stage often causes the development of osteomyelitis chronic form with a relapsing course. As a result of such a pathology, it is possible to partially or completely lose the mobility of the finger.

Treatment of panaritium

Therapeutic methods are accepted, depending on the type of panaritium:

Methods of treatment

Removal of necrotic epidermis without anesthesia, washing the wound with an antiseptic, applying an aseptic gauze bandage.

Subcutaneous

Surgical treatment under local anesthesia. A lateral incision is made, pus is removed, necrotic subcutaneous fat is excised.

Periungual

In most paronychia, pus erupts on its own, which makes the patient refuse surgical treatment. Radical Methods consist in adequate opening of the nail with drainage and partial resection.

subungual

Depending on the area of ​​stratification of the nail plate during surgical treatment, either partial or complete resection is performed.

Articular

Treatment is carried out exclusively in a hospital. At the initial stage, conservative therapy (antibiotics) is used. If it is ineffective, an arthrotomy is performed - an operation in which the foreign bodies from the joint.

Surgical intervention performed under local anesthesia. The peculiarity of the operation is the removal of hypergranulations and mandatory sequestrectomy. After the wound is drained, the finger is fixed with a plaster cast.

Tendinous

With the ineffectiveness of conservative treatment, surgery is performed under intravenous anesthesia. After drainage and washing, the wound is closed with PVC tubes with several holes. Next, a plaster immobilization of the finger is carried out and general and / or local treatment is prescribed.

pandactylitis

Conservative therapy is ineffective. Surgery is performed to stop the progression of necrotic inflammation. In severe cases, the operation ends with exarticulation (amputation at the level of the joint) of the finger.

Treatment at home

It is necessary to independently treat this pathology, based on the recommendations of a doctor. First, surgical and/or drug therapy, and when the wound already begins to heal, you can apply folk remedies. Vishnevsky's ointment is effective for panaritium. To get rid of the abscess, it is necessary to apply a layer of liniment to the affected area of ​​the skin, and apply a compress on top. You need to apply the medicine at night, and disinfect the wound in the morning. It is necessary to repeat the procedure until the pus is completely removed.

A good effect is given by Dimexide with panaritium. The solution has a healing, antimicrobial, analgesic, anti-inflammatory effect. Dimexide also needs to be applied at night in the form of a compress. If there is a panaritium of a finger on a child’s hand, then baths with salt or soda (2 tsp for 2 glasses of water) and Levomekol ointment, which should be applied under a bandage at night, will be effective.

Medical treatment

Antibiotics for panaritium are prescribed if the disease is provoked by staphylococcal or any other infection. Are used antibacterial drugs from the group of penicillins (Amoxiclav), fluoroquinolones (Levofloxacin) or macrolides (Josamycin). Typically applied intramuscular injection antibiotics, but with bone or articular pathology, treatment is carried out using intraosseous infusions.

To remove pus and heal wounds, Oflomelid, Levomekol, Dimexide, Vishnevsky or Ichthyol ointment are used externally. They have antimicrobial, anti-inflammatory, regenerating effects. To remove purulent fluid, these drugs should be applied to sterile dressing, and apply to the focus of inflammation up to 3 times / day.

AT postoperative period the wound is treated with antiseptic solutions (Chlorhexidine, Chlorphyllipt). To suppress further inflammation, non-steroidal anti-inflammatory drugs (Diclofenac, Nimesil) and UHF therapy are prescribed orally. Physiotherapy is effective after reducing inflammation. It helps to improve local blood circulation, remove swelling and soreness. The average number of procedures is 3-7. Duration - from 5 to 20 minutes.

Folk methods of treatment

With the permission of the attending physician, you can use folk recipes in the treatment of purulent inflammation on the finger. The most effective:

  • Aloe. Cut off both sides of the leaf of the plant, leave only the pulp. Apply it to the sore spot with a bandage. Do not remove the compress for 5 hours. Repeat the procedure every 4 hours until the condition improves.
  • Calendula. Soak the gauze alcohol tincture flowers of the plant, wrap the sore spot, cover with polyethylene. Keep the compress for 3 hours, then replace with a new one. Carry out the procedure several times / day.
  • Potassium permanganate. At the beginning of the purulent process, warm baths will help. Dilute 1 manganese granule in a glass of hot (tolerant) water. Soak the affected finger in the solution for 15 minutes. Repeat the procedure several times / day until the inflammation decreases.

Opening panaritium

Surgery is the most effective treatment for panaritium. The operation is prescribed by a doctor after a blood test and other laboratory tests. Local anesthesia according to Lukashevich-Oberst is mainly used: a tourniquet is applied to the base of the finger, a needle is punctured to the bone on the lateral phalanx and 2 ml of Lidocaine solution (2%) is injected. The same manipulation is carried out on the opposite side of the phalanx. If the palmar bones or joints are involved in the process, then the operation is performed under general anesthesia.

The autopsy is carried out in different ways, depending on the type of pathological process:

  • Subcutaneous. Longitudinal incisions are made, which are performed with great care so as not to damage the nerve bundle.
  • Tendinous. The incisions are made on the anterolateral surface of the finger.
  • Subungual. The edge of the nail is excised wedge-shaped or the nail plate is trepanned under the place of accumulation of pus. If complete suppuration and exfoliation is observed, then it is completely removed.
  • Articular. Two lateral incisions are made on the back of the hand, after which the cavity is washed with an antibiotic or antiseptic.
  • Bone. The nail phalanx is cut in the form of an arc and washed. If it needs to be removed, then Gigli's saw is used.

Prevention

The main preventive measure is the cleanliness of the hands, but we must not forget that the skin, overdried detergents, quickly covered with microcracks through which pathogenic bacteria easily penetrate. To avoid infection, you should always remember about prevention:

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An abscess on the finger is a common situation. People face this problem different ages. With an abscess (or panaritium on medical language) - not only the skin, but also deep tissues become inflamed.

Perhaps not everyone knows how to properly treat an abscess on a finger or toe. Procrastination or wrong actions can turn into disaster. In advanced cases, suppuration reaches the tendons, fatty tissue, and sepsis develops. Find out how to get rid of panaritium quickly and without complications.

Causes

Provoking factors:

  • onychomycosis - a fungus on the feet and nails;
  • violation of venous circulation;
  • ingrown nail;
  • improper manicure / pedicure;
  • cuts, abrasions in the area of ​​​​the nail roller, near the nail and fingertips;
  • diabetes.

Note! Often, abscesses on the fingers occur in people engaged in manual labor. During the performance of professional duties, it is easy to get hurt, drive a splinter, scratch your finger, prick yourself with a fish bone, and so on. Dirt, dust, technical oils will complete the "dirty deed".

An abscess on the toe appears:

  • after impact, injury to the skin with further ingress of dirt;
  • as a consequence of an incorrectly performed pedicure when an infection penetrates into wounds, cuts, under unprotected skin next to the nail plate;
  • when wearing tight, uncomfortable shoes, not only an ingrown nail can appear, but also an abscess if the integrity of the skin is broken.

Symptoms and stages

There are several stages of the inflammatory process:

  • after the infection penetrates into the upper layers of the epidermis, the skin turns red, swells, pain, itching appear;
  • the spread of the inflammatory process into the deep layers of the dermis is accompanied by the formation of a strip or bubble with pus inside;
  • there is a throbbing, jerking pain;
  • the finger stops bending, the affected joint is hot, hard to the touch;
  • with suppuration of fatty tissue, tendons, the state of health worsens, the temperature often rises.

Types of panaritium:

  • dermal and subcutaneous;
  • periungual;
  • subungual;
  • tendinous.

Treatment Methods

How to treat an abscess on the finger near the nail? At the first stages of the disease, conservative treatment is recommended under medical supervision. Severe, advanced cases require surgical intervention.

At the first signs of suppuration of soft tissues, swelling, mild pain, start treatment:

  • prepare a bath with potassium permanganate. Dissolve a few crystals in warm water until a light pink tint is obtained, lower the sore finger. Carry out the procedure for 5-10 minutes;
  • gently pat your skin dry. Fold the bandage, lubricate it with Vishnevsky ointment, Levomikol, Dioxidine ointment, apply to the inflamed area. These drugs actively accelerate the maturation of the abscess, after which pus flows out of the wound;
  • bandage the sore spot, but not too tight. See what the results are in a day or two.

Important! Having found on the epidermis not only swelling and redness of the tissues, but also small bubbles, do not do anything on your own. Perhaps this is a fungal disease or the herpes virus is active on the skin. Treatment methods will be different. Wrong actions contribute to the penetration of fungi into new areas.

Be sure to visit a surgeon if:

  • health deteriorated;
  • jerking pains appeared;
  • the finger is more swollen;
  • the skin turned red;
  • pus accumulates under the nail, in the subcutaneous tissue or under the nail roller.

An abscess on a child's finger

Panaritium is quite common in children of different ages. The reasons:

  • wounds;
  • cuts;
  • splinters;
  • non-observance of hygiene rules.

With a weakened immune system, if left untreated, the infection quickly spreads deep into the tissues. Listen to the child's complaints of pain, take immediate action.

How to proceed:

  • prepare a bath herbal decoction. Brew chamomile, calendula, St. John's wort. Let the child hold the sore finger in the healing liquid for 20 minutes;
  • effective bath with potassium permanganate;
  • wipe dry, treat the affected area with green paint;
  • after a few hours, check if the inflammation has subsided;
  • does the tumor shrink? Apply a compress with Vishnevsky's ointment. The smell is unpleasant, but the composition acts actively, quickly heals the wound, destroys pathogenic bacteria, accelerates the maturation of the abscess;
  • the next morning, check the condition of the sore spot. There are no visible improvements, the tissues swell further, appeared strong pain? Immediately go to the consultation with the surgeon;
  • The doctor will tell you how to proceed in your case.

Important! Do not self-medicate. During the first day, you can cope with mild form illness. With absence visible results not without the help of a doctor.

Most abscesses appear due to insufficient attention to minor damage to the skin. Follow simple rules - and you will not allow a tiny wound to turn into a panaritium.

Recommendations:

  • timely treat scratches, cuts, places for removing splinters with disinfectant solutions. Effectively act - alcohol, hydrogen peroxide, iodine, brilliant green;
  • Have you injured your finger or toe while hiking? Attach a clean leaf of plantain or coltsfoot;
  • during a country trip, a mini-first aid kit should always have antiseptics, Vishnevsky ointment or Levomikol, local antibiotics, bandages, cotton wool;
  • wash your hands thoroughly, do not allow dirt to get into scratches, wounds;
  • trim your nails carefully, leaving a sufficient length of the nail plate to protect delicate skin;
  • when pricked with bones while cutting fish, immediately soak your finger in a solution of potassium permanganate, chamomile broth. Lubricate the injection site with green;
  • remove the splinter in compliance with the rules of antiseptics, treat the sore spot with alcohol before and after the procedure. Couldn't get the splinter out on your own? Be sure to see a surgeon. The deeper the splinter goes, the more inflammation can develop.

An abscess on a finger or toe is a serious nuisance. Now you know the preventive measures and effective methods fight against panaritium. Be healthy!

See the following video for more useful tips for the treatment of an abscess on the finger:

Good day!

Recently I met such an unpleasant thing as FELON. And I never thought that a harmless swelling on the finger could lead to dire consequences.

It all started with my ring finger blushed near the nail began to get sick, appeared edema and still there was no obvious suppuration. It seems that I did not tear off the burrs, the cause of the abscess could be small wounds, cracks in the nail, through which the infection got inside.

If I immediately turned to the surgeon with this problem, then there would be no operations, and instead I began to read articles on the internet: breaks a finger, what to do? Panaritium treatment at home ...

There were many recipes for fixing the problem on the Internet, they recommended steaming your finger in warm water with soda, salt, applying coltsfoot (which you go look for in winter), applying onions, lubricating with iodine and brilliant green.

Of the ointments offered to choose from: ichthyol ointment or Vishnevsky ointment.

Full name:

  • Ointment for external use Ichthyol / Ichthammol MosPharma 20% 30 g

Anti-inflammatory agent for topical use

Price - 83 rubles

Place of purchase: pharmacy for the thrifty


INSTRUCTIONS FOR USE

Compound:

Active substance: Ichthammol (ichthyol) 10.0 g or 20.0 g

Auxiliary substance: Vaseline 90.0 g or 80.0 g

Description:
The ointment is dark brown in color with a peculiar smell.

Pharmacotherapeutic group:
Anti-inflammatory agent for local use.

Pharmacological properties:
Anti-inflammatory agent, has antimicrobial (bactericidal against Staphylococcus aureus and Streptococcus pyogenes), keratoplastic effect. Accelerates the maturation of boils.

Pharmacokinetics: Absorption is low.

Indications for use: Erysipelas, eczema, pyoderma (including furunculosis).

Contraindications: Hypersensitivity to the drug.

Use during pregnancy and lactation:
During pregnancy and lactation, the drug is indicated if the potential benefit to the mother outweighs the possible risk to the fetus.

Special instructions:
Avoid contact of the ointment with mucous membranes and eyes. After applying the ointment, wash your hands thoroughly to prevent the ointment from getting into your eyes, nose, and mouth.

Dosage and administration:
Outwardly. Apply a thin layer on the affected areas of the skin 1-2 times a day. If necessary, use a bandage.
The duration of the course and the features of the treatment regimen (both in children and adults) must be agreed with the doctor.

Side effect:
Possible local allergic reactions. If any of the side effects indicated in the instructions are aggravated, or you notice any other side effects not listed in the instructions, tell your doctor.

Interaction with other drugs:
Not compatible with solutions of iodine salts, alkaloids, salts of heavy metals.

Influence on the ability to manage vehicles and other mechanisms:
Does not affect.

Release form:
Ointment for external use 10% and 20%. 25 g in orange glass jars; 30 g in aluminum tubes. Each jar or tube, along with instructions for medical use placed in a pack of cardboard boxes.
Cans or tubes with an equal number of instructions for use are allowed to be placed in a group package.
Packaging for hospitals. 1.5 kg in cans with polyethylene terephthalate lids or polyethylene terephthalate cans with polyethylene lids; 15 kg in polyethylene bags, bags are placed in metal cans.

Storage conditions:
In a place protected from light, at a temperature not exceeding 20 ° C.
injure in a place inaccessible to children.

Best before date: 5 years. Do not use after the expiry date stated on the package.

Conditions for dispensing from pharmacies: Without recipe.



MANUFACTURER

The ointment is made in Moscow at the MosPharma plant.


BEST BEFORE DATE

Large enough, as much as 5 years from the date of manufacture. It's listed on the box.


Dubbed on a tube.



BARCODE

I checked it for authenticity.

Barcode: authentic, producing country: Russia


TUBE WITH OINTMENT

A metal tube, a white plastic cap is attached to it with a thread.


There was a control of the first opening.


It was necessary to make a hole in the tube with the sharp end of the cap, and then the ointment would come out to freedom.


CONSISTENCY

The ointment is like melted chocolate, viscous and sticky.


FLAVOR

Unpleasant, smells of railway, asphalt, tar. I really don't like this smell.

COLOR

Dark brown, even scary. The ointment is very dirty and stains everything around. When she put it on her finger, the neighboring finger also got dirty in it, and when she lay down on the bed, she accidentally stained the pillowcase on the pillow. I regretted contacting this dirty ointment. Then she began to bandage her finger with gauze.


APPLICATION

I put on this ichthyol ointment to the place of the abscess two days 2 times a day, during this time she soiled everything around me.


RESULT from the use of ichthyol ointment

The photo was taken when I was already in line with the surgeon in the clinic with acute pain They gave me a ticket without any problem. The finger festered, pus is already visible through the skin, it swelled even more, turned red and white, the situation worsened greatly. At the same time, the pain was not very strong, only when it touched the finger, then it hurt. The finger did not ache, did not bother at night.



The surgeon was an older woman. She looked at the finger, said that I came late. She also scolded for the use of ichthyol ointment, it could not be applied and you can't stick your finger either(I didn't do it).

Then I was invited to the next office for the operation. They offered to lie down on the operating table, injected painkillers. Oh how it hurt! The most painful part of the operation endure a prick. They even gave me two injections, I don’t know only the second one for what.

And then I didn’t feel much pain anymore, my finger was severely cut, the pus was cleaned out, treated, Levomekol ointment was applied and bandaged. The operation lasted about 5-10 minutes.

The doctor said to come tomorrow for a dressing, and on arrival home to drink painkiller and attach ice from the refrigerator.

As a result, I was riding the bus home and noticed that finger bleeding, stained all my gloves with blood, put a plastic bag on my hand. I bled my finger a lot whole day, hurt, whined, interfered with sleep.


In the morning I arrived for dressing, the first dressing after the operation was the most difficult. The bandage was soaked with chlorhexidine, as everything was dried up. I didn't have breakfast in the morning and even managed to faint. Since then, I went to dressings well-fed, I always had breakfast in the morning.

At the third dressing, they told me to soak my finger in alcohol, keep it for 10 minutes, it stinged a lot, but it didn’t look so scary.



I went for dressings after the operation for 3 days, and then there were holidays and I was told to dress at home. It was hard for me, because seeing my finger mutilated is very unpleasant.

SCARY PHOTOS

I'll show you my finger 1 week and 1 day after surgery. I came for another dressing, they said that the wound had dried up, no longer to treat it and go without a bandage at home so that the swelling subsides and dries further and further. For some reason, they didn’t put stitches, I’m afraid that the finger will remain so ugly, but they said that it would drag on.



Finger 3 weeks and 5 days after surgery



I know that the review does not contain the most pleasant pictures, but suddenly if someone encounters such a problem as mine, he will know what he has to endure, survive and see.

RESULTS regarding ichthyol ointment

Advantages:

1) Affordable price;

2) There is most likely in any pharmacy and is dispensed without a prescription.

Flaws:

1) Made it worse, did not help with an abscess of the finger near the nail;

2) Disgusting aroma;

3) Dirty everything around.

Conclusion. I do not advise you to purchase ichthyol ointment on your own without a doctor's recommendation. She did not help me with panaritium. If everything is bad with the finger, it abscesses, then it is better to contact the surgeon as soon as possible, but be prepared for such consequences, the doctor can cut the finger / do the operation without regret.

All good and good health!

Article content: classList.toggle()">expand

Suppuration of the wound occurs under the influence of various bacteria. In the process of life, they release dangerous toxins that are carried with the bloodstream and lead to the development of serious complications.

That is why in this situation it is necessary to carry out antibiotic therapy. It can be either local or general. Appointments are made by the attending surgeon after examination and treatment of the wound.

Rules for the treatment and treatment of purulent wounds

In the presence of a purulent wound, complex treatment which includes:

  • Surgical treatment of the wound, daily dressings;
  • Antibacterial therapy;
  • Anti-inflammatory treatment;
  • Vitamin therapy;
  • symptomatic treatment.

Distinguish between primary and secondary wound treatment. PHO (), that is, treatment is carried out for the first time after the development of a purulent process, possibly on prehospital stage. VMO (secondary treatment) is performed by a surgeon under sterile conditions.

To treat the wound, it is necessary to prepare sterile instruments and dressings: sterile gloves, scissors, a scalpel, tweezers, drainage material, bandages and gauze wipes.

Procedure for treating a festering injury:

Drainage is a way to remove the purulent contents of wounds. There is active and passive drainage.

Passive drainage is made from tubes, gloves and gauze turundas. To improve the outflow of fluid through these devices, for example, a bandage with hypertonic sodium chloride solution will help. Active drainage can be a flow-flushing, aspiration, combined method.

Treatment of a purulent wound is carried out 1 or 2 times a day under local anesthesia. An extraordinary dressing is carried out if the dressing gets wet or if pain occurs / intensifies at the site of injury.

Antibiotics in the form of ointments and solutions

Local antibiotic treatment festering wounds are carried out by such groups of drugs as semi-synthetic penicillins, tetracyclines, cephalosporins.

In the first phase (inflammation), treatment is carried out using solutions with an antibiotic, in the second phase (regeneration), it is advisable to use ointments.

Antibiotics for wound suppuration are prescribed only by a doctor, taking into account the sensitivity of microorganisms to it.

For this purpose, an analysis of the discharge for sensitivity to antibiotics is carried out. If the pathological process requires immediate treatment, then broad-spectrum drugs are prescribed. They affect a large group of bacteria.

Ointments and solutions used in the treatment of purulent wounds:

  • Ointment Baneocin. This is a combination drug (Bacitracin + Neomycin), which has a bactericidal effect (leads to the death of bacteria). It must be applied to a surface cleansed of purulent contents. Contraindications to the use of this ointment are:
    • Hypersensitivity to the components of the drug;
    • Extensive wounds, since in large quantities active substances contribute to hearing loss;
    • Simultaneous use of antibiotics of the aminoglycoside group;
    • Pregnant and lactating women should consult a specialist before use;

Similar articles


For purulent wounds, they have not only a strong antibacterial and anti-inflammatory effect, but also a rapidly healing property.

Antibiotic for purulent wounds in tablets

Antibacterial drugs for systemic action are usually used in the form of tablets, capsules and injections. Such drugs are much more effective than local forms, but their use must be justified. Otherwise, microorganisms become addicted to drugs.

Indications for the use of systemic antibiotics:

  • Extensive, deep trauma;
  • Spread of infection through the bloodstream throughout the body (sepsis);
  • Development of general fever;
  • The presence of complications of the purulent process.

Antibiotics for purulent wounds are divided into several groups:


It must be remembered that all systemic antibiotics can have a negative effect on the digestive and urinary organs.

Auxiliary drugs for treatment

In the course of treatment, several groups of drugs are used, which provide an integrated approach.

A purulent wound is manifested by several pathological symptom complexes, the elimination of which requires the use of such medicines:

  • Antiseptics. They are necessary for the treatment of the wound and its edges. In surgery are widely used:
    • Ethanol;
    • Dyes: Fukortsin,;
    • Oxidizing agents:,;
  • Pain medications especially necessary in the first days of the formation of suppuration: Analgin, Baralgin;
  • Anti-inflammatory drugs help reduce inflammation and swelling. Most often, non-steroidal anti-inflammatory drugs are used, since they also have an analgesic effect: Ketoprofen, Artrotek, Ibuprofen, Diclofenac and others;
  • vitamins prescribed to strengthen the immune system and improve the healing of injury.

Complications of purulent wounds

If the treatment of a festering wound is not carried out in full or is completely absent, then the likelihood of complications is high.

Typical complications of the lack of treatment of suppuration:


Panaritium is an inflammatory process that is most often localized near the nail plate on the fingers. A problem arises due to accidental or systematic injury to soft tissues, as a result of which pathogenic bacteria and viruses enter the wound. They provoke severe swelling and the formation of purulent masses. In the absence of competent treatment or due to the transition of the pathology to an advanced stage, bacteria can affect not only soft tissues fingers, but also tendons, bones and joints and lead to necrotic processes.

The disease can be recognized by a number of characteristic features, among which are:

  • there are significant sensations in the area of ​​\u200b\u200bthe future focus of inflammation, while the pain is characterized by a strong pulsation;
  • gradually the skin on the affected area and around it becomes red, swelling and swelling may be noted;
  • pus begins to accumulate under the skin, which can sometimes begin to come out;
  • the finger becomes virtually motionless, as each movement brings severe pain;
  • the patient's temperature rises to +37.5 degrees, weakness and nausea may be observed.

Attention! Sometimes the disease can cause not only subfebrile temperature body, but also increase the performance to critical +40 degrees. It is important to immediately consult a doctor in this condition, since suppuration that is simple at first glance can cause more dangerous complications.

Antibiotics for panaritium of the finger

Ampicillin

In most cases, patients tolerate treatment well. penicillin group, while it is these medicines that show the best result in the fight against bacterial panaritium. Adult patients receive during therapy 250-500 mg active substance. The number of daily doses is selected individually and can be 2-4 times. The duration of therapy with Ampicillin is one to two weeks.

Erythromycin

A good antimicrobial drug that is used to eliminate most bacterial infections and inflammations. The drug rarely causes serious side effects and overdose when properly prescribed. The amount of the main substance is 0.25-0.5 g of the drug. In the first days of therapy and in severe cases of panaritium, the patient can take up to five doses. active component. For a better and more lasting result, you should take the tablets one hour before meals or one hour after it. The duration of treatment with Erythromycin for panaritium is seven days, sometimes therapy is continued for two weeks. Do not exceed the daily dose of the active substance of four grams.

Ilozon

A good antibiotic that belongs to more modern drugs than erythromycin and ampicillin. To get a quick result, adult patients need to take 250-500 mg of the active substance up to four times a day. The maximum allowable daily dose of Ilozon is 2 g. Before starting treatment, you should check your kidneys, since taking the medication may adversely affect their work.

Attention! Preparations of this group are prescribed only with a confirmed microbial pathogen panaritium, which may belong to streptococci and other pathogenic bacteria.

Ointments against panaritium on the hands

Ichthyol

A safe ointment that does not cause tissue necrosis and can draw out the most dense and deep purulent neoplasms. Apply the medication up to three times a day in a thick layer. To get a quick result, it is necessary to apply a bandage to the affected area. Ichthyol penetrates deep into the skin tissue, relieves swelling and inflammation. After the first use, the patient will notice noticeable improvements in their condition. The duration of therapy with Ichthyol is up to 14 days.

Vishnevsky ointment

It has a specific smell, but at the same time in the first few days it is able to get rid of unpleasant symptoms. For treatment, it is necessary to apply a dense layer of ointment to the affected area and apply a compress. It is best to do this before going to bed. In the morning, the bandage must be removed, the wound disinfected with an antiseptic solution and the procedure repeated again. You can be treated in this way until the panaritium on the finger completely disappears.

Levomekol

The ointment is easy to use and quick results. The drug is applied to a sterile gauze bandage, which must be applied to the sore spot and tied tightly. Change the compress only once a day, so as not to cause an overdose. The duration of therapy using Levomekol is set individually, usually no more than two weeks are required for treatment. The ointment belongs to antibiotics, so you should first familiarize yourself with the contraindications to its use.

Synthomycin ointment

This medication allows you to accelerate wound healing, prevent the development of necrotic processes or eliminate their manifestation. For treatment, it is necessary to take only a sterile bandage or plaster, on which no a large number of medicine, a small pea is enough. Before applying, the center of panaritium is treated with an antiseptic, after which a bandage is applied to the sore spot and fixed. Change the bandage once a day. The duration of therapy is up to two weeks.

Attention! When using ointments, it is important to change the dressings in a timely manner, since a large number of pathogens also accumulate under them, which in the end can only worsen the patient's condition.

Lotions against panaritium

Biosept

The drug is produced in the form of a solution for disinfection and lotions. For treatment, it is necessary to take a clean cloth and moisten it with Biosept. After that, the compress is applied to the wound until completely dry. You can repeat these manipulations up to six times a day. It is necessary to use such lotions only in combination therapy against panaritium. Duration of therapy - until the complete disappearance of unpleasant symptoms.

Video - Panaritium: causes, diagnosis, complications, prevention

Antisept

It is also a good antiseptic, which helps prevent bacteria and viruses from entering the wound and the affected area. For application, it is necessary to take a sterile bandage and moisten it with Antiseptic. After that, the lotion is applied to the sore spot for 10-15 minutes. Like Biosept, this disinfectant can be used up to six times a day until the manifestations of panaritium are completely eliminated.

Attention! Lotions should be included in combination therapy, as they cannot provide the necessary therapeutic effect to completely eliminate the disease.

The cost of medicines

The table shows all the drugs described for the treatment of panaritium of the finger with their cost.

A drugImagePrice in RussiaPrice in Ukraine
Ampicillin 60-150 rubles24-61 hryvnia
Erythromycin 70-150 rubles26-61 hryvnia
Ichthyol 120 rubles49 hryvnia
Vishnevsky ointment 50 rubles15 hryvnia
Synthomycin ointment 50 rubles15 hryvnia
Biosept 490 rubles200 hryvnia
Antisept 600 rubles246 hryvnia
Levomekol 150 rubles61 hryvnia
Ilozon 500 rubles205 hryvnia

Attention! These prices are indicative only and may not match those indicated in your pharmacy chain.

Alternative methods of therapy for the treatment of panaritium

Potassium permanganate solution

This procedure significantly disinfects the focus of the disease and allows you to immediately apply ointments when using combined treatment. When panaritium, it is necessary to use potassium permanganate in the form of baths. To do this, it is necessary to dissolve in two liters of boiled water, its temperature should be +37 degrees, a little active substance. Accurate dosage for such cases does not exist, you should focus on the color of the solution. It should turn purple. It is very important to ensure that all the crystals are completely dissolved, as they can burn the skin. After that, the hand is lowered into the water and kept there for about five minutes. You can repeat this procedure up to three times a day until the symptoms of the disease disappear completely.

Garlic baths

For cooking medicinal product you need to take the average head of garlic and turn it into gruel. The resulting mass is poured with boiling water, the water temperature should be 80 degrees. After insisting the product under the lid for 10 minutes, you need to lower your hand into it. Such a bath is carried out until the liquid has completely cooled. As soon as the procedure is over, you need to get the whole gruel and attach it to the affected area. The sore spot is tied with a tight bandage and left until morning. The procedure is repeated once a day until the symptoms disappear completely.

Video - How to treat panaritium on the finger

soda baths

This method is perfect for treating pregnant women and children. For 500 ml of boiled water at room temperature, you need to take a tablespoon of soda and salt. After thoroughly mixing the components, it is necessary to lower the sore finger into the solution. The duration of the procedure is 15 minutes, after which the finger must be wiped with a paper towel and treated with an ointment or antiseptic. You can repeat this procedure up to three times a day during the entire course of treatment.

Attention! With a bacterial type, panaritium cannot be limited exclusively to folk remedies, since it is important to completely eliminate the pathogen.

Prevention of panaritium on the fingers

To prevent the disease, it is enough to adhere to the following rules:

Attention! Young children most often encounter the described pathology. To reduce the risk of panaritium, you should constantly use antibacterial wipes and gels, especially after visiting playgrounds and sandboxes.

If the above methods of therapy could not have the desired effect, a decision will be made on the surgical removal of panaritium. Also, surgery is performed in situations where the patient already has signs of necrotic processes or joints and bones are affected.

At the first signs of panaritium, treatment should be started immediately to avoid complications. If the bone and joint tissues are injured, the treatment will be long, and the disease itself can become chronic and often make itself felt at the slightest decrease in immunity. Before starting a course of therapy, it is advisable to consult a dermatologist to confirm the diagnosis and prescribe adequate therapy.