Treatment of Paronychia

Paronychia is mainly caused by bacterial infection, commonly occurring around the fingernails or toenails. It is characterized by local redness, swelling, heat, and pain; severe cases may develop abscesses. The treatment principles include controlling infection, reducing inflammation, and preventing recurrence.

1. Local treatment: For mild cases of early-stage paronychia, soaking the affected hand or foot in warm water 2-3 times daily for 15-20 minutes each time can help soften the skin and alleviate inflammation. Antibiotic ointments such as mupirocin ointment can be applied locally 2-3 times daily.

2. Oral medications: Antibiotics such as cefalexin capsules or amoxicillin capsules can be used for antibacterial and anti-inflammatory effects. For paronychia caused by fungal infection, antifungal medications such as itraconazole or fluconazole should also be used.

3. Surgical treatment: If an abscess develops, incision and drainage are required to remove the pus. For patients with subungual abscess or ingrown nails, nail removal treatment is necessary.

4. Prevention: Keep hands and feet clean and dry; avoid cutting nails too short to prevent injury to the nail edges. Use mild cleansers for washing hands and feet, and avoid prolonged immersion in water.

If you have any concerns, please consult a healthcare professional.