How to treat paronychia in infants and toddlers?

Written by Yao Li Qin
Pediatrics
Updated on September 27, 2024
00:00
00:00

If an infant has paronychia, it indicates that there is local damage and bacterial infection. In such cases, it is crucial to seek medical attention promptly. The doctor will thoroughly disinfect the area affected by paronychia, and for severe cases with abscesses, debridement may be necessary.

Generally, if parents try to disinfect the child’s wound, they might not be able to adequately treat some deep infections. Therefore, it is still necessary to go to the hospital. After the doctor treats the wound, regular visits to the hospital for dressing changes are needed for a thorough treatment of the infant's paronychia. If the paronychia is severe and accompanied by a systemic infection, treatment under the guidance of a hospital doctor with antibiotics may also be required.

Other Voices

doctor image
home-news-image
Written by Huang Ling Juan
Dermatology
57sec home-news-image

How to treat an ingrown toenail that has become infected and pus-filled?

Paronychia with suppuration can be controlled by disinfecting the area with iodine and then applying anti-inflammatory ointments, typically mupirocin ointment or erythromycin ointment. If there is significant local swelling, it may be necessary to perform a lateral nail avulsion or nail removal under local anesthesia to ensure adequate drainage of the pus and control the infection effectively. After controlling the infection, for more severe cases of ingrown toenail deformity, it may require further correction of the nail and a procedure to reshape the nail groove to manage the inflammation and correct nail deformities. Treatment should also include oral antibiotics, taken under medical supervision, such as erythromycin tablets. Since paronychia with pus formation can easily lead to systemic infection, it is crucial to treat it aggressively.

doctor image
home-news-image
Written by Zhang Jian Bo
Dermatology
58sec home-news-image

How to deal with big toe paronychia on your own?

The patient with an ingrown toenail managed it themselves, requiring minimized activity and elevating the foot to promote local circulation. Additionally, topical disinfectants such as iodine tincture can be used, not merely applied, but used for moist dressing. Take some cotton soaked in iodine tincture and apply it to the swollen area around the nail fold, generally recommending a five to ten-minute application. Antibiotic ointments can also be applied externally, such as mupirocin cream. After application, cover it for two hours, and treat it two to three times a day. If this method does not effectively alleviate the pain, consider taking antibiotics that have previously caused no allergies, with a preference for cephalosporins or penicillin-type antibiotics. If the antibiotics still do not effectively relieve the pain, it is advised to seek medical attention at a hospital. (Use medications under the guidance of a doctor.)

doctor image
home-news-image
Written by Liu Gang
Dermatology
44sec home-news-image

How is paronychia radically cured?

Paronychia is a purulent infectious disease caused by the repeated irritation of a nail embedding into the flesh, most commonly found on the big toe. If the purulent infection is severe, it may require incision and drainage. If the symptoms are mild, it may be treated with appropriate oral and topical anti-inflammatory medications. To completely cure this condition, surgery is necessary to remove the nail embedded in the flesh and then use sutures to forcibly correct the placement. This can prevent recurrences in future life. Regular walking habits should be maintained without jumping, and wearing shoes that are too tight should be avoided. Dietary and lifestyle habits should also be regulated.

doctor image
home-news-image
Written by Huang Ling Juan
Dermatology
1min 10sec home-news-image

How to remove granulation tissue from paronychia

For polyps caused by paronychia that repeatedly flare up and are quite obvious, surgical methods are necessary for complete correction. Surgical options include nail groove plasty and lateral nail fold incision, both of which are effective treatments for severe paronychia. If the polyp from paronychia is not severe, it can be treated with topical medications to shrink the polyp and reduce swelling. Commonly used medications include skin and mucous membrane disinfectants such as povidone-iodine, and continuous damp dressing with medical alcohol can be applied to further reduce swelling, which is beneficial for muscle atrophy. Highly concentrated saline solution or phenol can also be used for local scalding through continuous damp dressing. The growth of a polyp in paronychia indicates repeated inflammatory irritation, which leads to local proliferation, so it is essential to address paronychia promptly when it occurs.

doctor image
home-news-image
Written by Zhu Zhu
Dermatology
35sec home-news-image

Can erythromycin ointment be used for paronychia?

Erythromycin ointment can be used for paronychia. Paronychia is a disease where an infection occurs in the nail groove or the surrounding soft tissue. If left untreated, paronychia can develop into more severe conditions such as subungual abscess. Paronychia often results from injuries such as abrasions, puncture wounds, ingrown nails, or pulling out hangnails. Erythromycin ointment can be used as a topical medication for paronychia, but it is important to keep the affected area clean and dry.