Treatment of furunculosis

Furunculosis is a disease in which multiple skin lesions with furuncles occur. The furuncle itself is an inflammation of the hair follicle caused by bacteria, most often Staphylococcus aureus. By location, localized and general furunculosis are distinguished. With localized furunculosis, furuncles are located on one part of the body, for example, the face. With general furunculosis, furuncles appear all over the body. By time of localization, acute and chronic furunculosis are distinguished. With acute furunculosis, a large number of furuncles appear in a short period of time or simultaneously. With chronic furunculosis, furuncles appear with a certain long periodicity, for example, once a month. What are the methods of treating furunculosis? We will discuss this below.

Methods of treating furunculosis

The method of treating furunculosis depends on the location and complexity of the disease. In acute furunculosis, the methods of control are aimed at accelerating the process of maturation and spontaneous breakthrough of furuncles. At the stage of furuncle maturation, bandages with levomecol and/or ichthyol ointment are used. After the furuncles have broken through, the affected areas of the skin should be treated with aseptic solutions (iodine, betadine, brilliant green, 70% alcohol). To accelerate the release of purulent contents, ointments that "suck out" pus (Vishnevsky ointment, biopin, dimexide) are used. After the rod has completely departed, independent granulation of the wound occurs with the formation of a scar. In this case, the skin surface should again be treated with antiseptic solutions. If the patient's general condition worsens or the number of furuncles is too large, then a conservative treatment method is used, namely, surgical intervention, antibiotic therapy and physiotherapy.

Surgical treatment of furunculosis

The surgical method is used in the absence of a long spontaneous breakthrough of boils, a large number of boils, with a significant deterioration in the general condition or localization of inflammatory processes on the face. In this case, the surgeon opens the lesion under local anesthesia by cutting the skin with a scalpel, removes the rod, washes the wound, puts tampons with ointment into it and applies an aseptic bandage. With this method, the inflammatory process goes away quickly, and healing lasts relatively painlessly. The patient only has to go to the dressing.

Treatment of furunculosis with medications

Drug treatment of furunculosis is carried out by prescribing antibiotics. To do this, the doctor must take the contents of the wound for bacteriological culture with subsequent antibiogram. This is done in order to determine the microorganism causing furunculosis and prescribe the optimal drug that is sensitive to this type of microorganism. Erythromycin, oxacillin, cephalexin, metacycline, sumamed are most often used. Antibiotic treatment is carried out for furunculosis localized on the face or in people with severely weakened immunity.

Erythromycin

Directions for use: Adults are prescribed to take 0.25 mg 4-6 times a day, but not more than 2 g per day, one hour before meals. For children under 14, the daily dosage is 20-40 mg/kg in four doses.

Side effects: nausea, upset stomach, jaundice, allergic reactions.

Contraindications: the drug is contraindicated in case of individual intolerance, liver dysfunction, as well as polyvalent medical allergies.

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Oxacillin

Method of administration: the drug can be taken orally, as well as administered intramuscularly or intravenously. When administered orally, the dosage is 0.25-0.5 g 4-6 times a day, but not more than 3 g. The drug is prescribed one hour before meals, or 2-3 hours after meals. For intramuscular and intravenous administration, the dosage is selected by the attending physician.

Side effects: allergic reactions, nausea, vomiting, upset stomach, jaundice, dysbacteriosis, candidiasis, hematuria, thrombophlebitis, suppression of hematopoiesis.

Contraindications: the drug is contraindicated in severe liver diseases and individual intolerance to drugs.

Cephalexin

Method of administration: the drug is prescribed to adults in a dosage of 1-4 g per day. The recommended frequency of use is every 6 hours. The dosage for children is selected individually depending on age. Infants under 1 year are prescribed 2.5 ml of the drug 3 times a day, from 1 year to 3 years - 5 ml, from 3 to 6 - 7.5 ml, from 6 to 14 - 10 ml in the form of a suspension.

Side effects: upset stomach, dizziness, suppression of hematopoiesis, allergic reactions.

Contraindications: the drug should not be used in case of intolerance to cephalosporins and penicillins.

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Metacycline

Method of administration: the dosage for adults is 300 mg 2 times a day. The drug is taken after meals or immediately during meals. Children under 12 years of age are prescribed no more than 10 mg / kg of the child's body weight, also dividing the dose into two times.

Side effects: dizziness, headaches, nausea, vomiting, diarrhea, pancreatitis, jaundice, diabetes insipidus, candidiasis, dysbacteriosis, pigmentation of tooth enamel, allergic reactions.

Contraindications: the drug should not be used during pregnancy and breastfeeding, as well as for children under 8 years of age. It should be prescribed with caution to people with liver or kidney failure. It is not recommended for use in case of medical polyvalent allergy.

Sumamed

Method of administration: the drug is taken once a day one hour before meals at a dosage of 500 mg for three to five days. For children, the dosage is 10 mg / kg of body weight.

Side effects: nausea, vomiting, diarrhea, bloating, allergic reactions.

Contraindications: Use with caution in patients with impaired liver and kidney function, as well as in people with hypersensitivity to macrolides.

Local heat, UHF therapy and ultraviolet radiation are used as physiotherapeutic treatment for furunculosis. All these methods are aimed at accelerating the maturation of the furuncle and, as a consequence, its spontaneous breakthrough. Physiotherapy methods also have an antiseptic effect.

When treating furunculosis at home, you need to remember the main and most important rule. In no case should you squeeze out the contents of the furuncle yourself. This can lead to injury to the venous vessels, through which pathogenic microorganisms will enter the bloodstream and can cause sepsis and even death. In addition, independent removal of the core can lead to its incomplete removal and, as a consequence, subsequent inflammatory process of tissues - phlegmon.

Treatment of furunculosis with folk methods

Treatment of furunculosis with folk methods is aimed at eliminating inflammation in the early stages or accelerating the maturation and breakthrough of the furuncle. For this purpose, ointments from:

• honey, salt, flour and eggs (for rapid ripening of boils). This cake should be changed twice a day until it breaks through.
• black bread, water and salt (to reduce inflammation at the initial stage). This cake should be changed every 3-4 hours.
• honey and flour (for quick ripening). The bandage with such a cake should be changed 2 times a day until the abscess breaks through on its own.
• crushed calendula leaves with Vaseline (to reduce inflammation at the initial stage). This cake has an excellent antiseptic and anti-inflammatory effect. It should be changed every 3-4 hours.
• grated laundry soap and baked onion pulp (for quick ripening). This pulp should be applied to the inflamed area and changed every day until the breakthrough.

Traditional medicine also recommends purifying the blood with the help of decoctions of certain herbs, namely: daisy flowers, burdock seeds, dandelion leaves, nettle, string, lingonberry and others. In this case, you need to make a decoction and take it three times a day.

The most amazing and mysterious method of treating furunculosis with folk methods is the use of sulfur. There is a belief from the war years that in order to get rid of furunculosis, you need to take sulfur powder with bread. We strongly advise against trying this method.

Treatment of chronic furunculosis

Chronic furunculosis is characterized by the appearance of inflammation foci after a certain period of time. Usually, patients associate this process with hypothermia, previous illness, decreased general immunity, severe stress and other reasons. In such cases, the issue of preventing outbreaks of furuncles arises. Strengthening the immune system and a healthy lifestyle (sports, regimen and diet) play a huge role in this. People suffering from this disease should engage in standardized physical activity, follow a daily routine, get enough sleep and eat right. A diet for the prevention and treatment of furunculosis should include a sufficient amount of vitamins and microelements. It is necessary to exclude the consumption of large amounts of spicy, fatty foods, smoked foods, as well as alcohol. It is recommended to reduce the consumption of carbohydrates (sweets, sugar) and introduce yeast into the diet.

In rare cases, autohemotherapy is offered as a treatment for furunculosis - the injection of one's own blood into muscle tissue or under the skin. In some sources, autohemotherapy is considered an outdated and ineffective method of treating furunculosis, but nevertheless, it is still carried out.

There is also a practice of treating furunculosis by administering stimulating drugs intramuscularly. These include gamma globulins and injections of aloe vera extract.

Features of furunculosis treatment

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Peculiarities of treating furunculosis on the face

The most dangerous place for furunculosis to be localized is the face. The reason for this is the nearby vessels leading to the brain. If a vessel is accidentally damaged, bacteria enter the brain with the venous blood flow, where they can cause inflammation of the membranes - meningitis. Therefore, when a furuncle appears on the face, antibiotic therapy is started immediately and, if necessary, surgery is performed. Treatment of furunculosis on the face is most often performed in a hospital. On the face, furunculosis most often occurs in the nasolabial folds or the inner surface of the wings of the nose. This greatly complicates therapy, so self-medication is highly discouraged.

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Peculiarities of treating furunculosis on the head

Furuncles on the scalp are just as dangerous as those on the face. Therefore, treatment is carried out according to the same scheme (i.e. with antibiotics). The only difference is that before treatment, the hair is removed for convenient wound treatment and to prevent hair from getting into the wound surface. A bandage is applied to the surface.

Peculiarities of treating furunculosis in children

Furunculosis in children occurs in the same way as in adults. The cause of purulent inflammation can be cuts, abrasions, injuries with subsequent infection of the wound. With extensive furunculosis, the child's body temperature may rise, chills may appear and the general condition may worsen. In this case, you should urgently consult a doctor (especially if the child is small). Treatment of furunculosis in children is carried out conservatively and by prescribing antibiotics. It is advisable to use drugs only after determining the pathogen and the sensitivity of antibiotics to it. It should be remembered that some drugs are contraindicated for children. Self-squeezing of the abscess, as well as extraction of the furuncle core is categorically not recommended. In children, such an action can lead to complications in the form of lymphadenitis, thrombophlebitis, phlegmon or even an abscess.

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