Acute Paronychia

Consider incision and drainage where appropriate.

Advise warm soaks and analgesia.

Antibiotics should be considered if fever or cellulitis or other co-morbidities (e.g. diabetes, immunosuppression).

If no response to treatment or if infection is recurrent or chronic, the choice of antibiotic should be guided by sensitivities

flucloxacillin

500mg four times daily

7 days

In penicillin allergy: erythromycin

500mg four times daily

7 days