Abscess drainage generally takes less than 1 hour to complete.
Healing could take a week or two, depending on the size of the abscess. During this time, new skin will grow from the bottom of the abscess and from around the sides of the wound.
This usually depends on the size and severity of the abscess. After the first 2 days, drainage from the abscess should be minimal to none. All sores should heal in 10-14 days.
If a skin abscess is not drained, it may continue to grow and fill with pus until it bursts, which can be painful and can cause the infection to spread or come back.
Treating an abscess
A small skin abscess may drain naturally, or simply shrink, dry up and disappear without any treatment. However, larger abscesses may need to be treated with antibiotics to clear the infection, and the pus may need to be drained.
Bathing It is safe to shower one day after surgery. Simply let water run into the incision and pat the area dry. It is important to let the water get inside the wound as this will promote healing. Please shower prior to each dressing change if possible.
Gentle cleaning with soap and water before applying a fresh dressing is usually recommended. If any topical products are involved, you will also receive instructions on how to use these. Warm compresses might be recommended for managing pain after an abscess drainage, usually 3-4 times a day.
The doctor may have cut an opening in the abscess so that the pus can drain out. You may have gauze in the cut so that the abscess will stay open and keep draining. You may need antibiotics. You will need to follow up with your doctor to make sure the infection has gone away.
This retrospective data suggests that abscesses greater than 0.4 cm in depth from the skin surface may require a drainage procedure. Those less than 0.4 cm in depth may not require a drainage procedure and may be safely treated with antibiotics alone.
Try using a warm compress to see if that opens up the abscess so it can drain. You can make a compress by wetting a washcloth with warm — not hot — water and placing it over the abscess for several minutes. Do this a few times a day, and wash your hands well before and after applying the washcloth.
If the infection is limited to the abscessed area, you may not need antibiotics. But if the infection has spread to nearby teeth, your jaw or other areas, your dentist will likely prescribe antibiotics to stop it from spreading further. Your dentist may also recommend antibiotics if you have a weakened immune system.
Antibiotics are frequently prescribed following incision and drainage of cutaneous abscesses. In subgroup analyses from a recent clinical trial, we observed higher likelihood of cure with antibiotic courses beyond 5 or 7 days (up to 10).
Abscess-Drainage Procedure
Once located, the abscess is typically drained with an aspiration needle but, because it is likely to refill, surgery, which is performed under general anesthesia, is usually also necessary. In either case, abscess drainage requires a complete elimination of the infected material.
If your abscess was opened with an Incision and Drainage: Keep the abscess covered 24 hours a day, removing bandages once daily to wash with warm soap and water. If the abscess was packed (with a cotton wick), leave it in until instructed by your clinician to remove the packing or return for re-evaluation.
Abscesses tend to get worse as time goes on. Symptoms include tenderness or pain and the site of the abscess being warm to the touch.
In general, amoxicillin is a commonly prescribed, safe antibiotic used for treating various different infections, including an abscessed tooth.
Antibiotics of the penicillin class, such as penicillin and amoxicillin, are most commonly used to help treat tooth infections. An antibiotic called metronidazole may be given for some types of bacterial infections. It's sometimes prescribed with penicillin in order to cover a larger variety of bacterial species.
You may feel some pressure, but it shouldn't be painful. When the needle arrives at the abscess, your interventional radiologist will exchange the needle for a thin tube called a catheter to drain the infected fluid.
Applying heat to the abscess can help it shrink and drain. The most useful way of applying heat is to put a warm compress on the abscess. You can make a warm compress by running warm water on a face towel and folding it before placing it on the abscess several times a day for about 10 minutes at a time.
Emergency Warning Signs: When should I see a doctor? Emergency medical care could be in order if the abscess is accompanied by a fever higher than 101°F or if the abscess measures more than half an inch. If red streaks radiate from a possible infection site, seek medical attention right away.
Any access drainage should stop within a couple of days. Pain from the wound will gradually go away. The abscess should heal completely within two weeks.
Smaller abscesses (<5 mm) may resolve spontaneously with the application of warm compresses and antibiotic therapy. Larger abscesses will require I&D as a result of an increase in collection of pus, inflammation, and formation of the abscess cavity, which lessens the success of conservative measures.
Call your doctor if your abscess fails to heal after two weeks, or if it increases in size and pain over time. You should also contact your doctor if your abscess is accompanied by: A fever. Increasing pain, or a throbbing sensation.