What is the initial treatment for furuncles and carbuncles?

The initial treatment for furuncles and carbuncles primarily involves drainage since these skin conditions are often caused by localized infections involving hair follicles, usually due to Staphylococcus aureus. Effective management generally requires proper drainage of the abscess to relieve pain, pressure, and to remove the purulent material.

While antibiotics may be indicated in certain cases, particularly for extensive infections or in patients with systemic symptoms or immunocompromised status, the cornerstone of treatment remains adequate drainage.

This approach addresses the source of the infection more effectively than topical treatments, which may not penetrate deep enough to resolve the infection within the abscess. Oral antibiotics complement the treatment, especially in cases where there is concern for associated cellulitis or if the patient’s immune response is compromised. Thus, combining drainage with the appropriate oral antibiotics provides a comprehensive method to manage these infections effectively.