9.1 Paronychia
| Type of Infection | First Line (with Dosage and Duration) |
Alternative First Line (with dosage and Duration) |
Comments |
|---|---|---|---|
| Acute paronychia - Lasting less than six weeks, painful and purulent condition; most frequently caused by a bacterial infection, especially Staphylococcus spp. | Topical antibiotic ointment: Bacitracin or Mupirocin Or Amoxicillin 500mg TDS Or Amoxicillin- clavulanate 625mg q8h for 5- 10 days | Cephalexin (500mg three to four times a day) for 5 to 10 days depending on whether incision and drainage is performed | Fluctuant paronychia is usually treated with incision and drainage. |
For common etiological agents of Paronychia, see Annexure B.9.1
References
1. Rerucha CM, Ewing JT, Oppenlander KE, Cowan WC. Acute Hand Infections. Am Fam Physician. 2019 Feb 15;99(4):228-236.Available from: Acute Hand Infections - PubMed Leggit JC. Acute and Chronic Paronychia. Am Fam Physician. 2017 Jul 1;96(1):44-51. PMID: 28671378. Available from: https://pubmed.ncbi.nlm.nih.gov/28671378/