What is a Skin Abscess?

An abscess is a pocket of infected fluid with a thick wall around it. Skin or soft tissue abscesses occur when bacteria get into tissue below the outer layer of skin.

 

How does it occur?

Most of the time an abscess forms when bacteria enter a break in the skin. For example, an abscess might develop when a hair becomes ingrown or when the skin is scratched or poked with something sharp. As more bacteria grow (multiply) in the skin or soft tissues, the body responds by forming a wall around the area to help keep the bacteria from spreading to other parts of the body. The bacteria in this pocket continue to multiply and as they do, the pocket becomes more swollen. Some of the bacteria may get through the wall and cause an infection of the tissues around the abscess or even get into the blood and infect other parts of the body.

Often abscesses occur when hair follicles or sweat glands get infected or after minor scrapes or puncture wounds.

Abscesses are more common in people who have diabetes or poor circulation, and in people whose immune systems are weakened.

 

What are the symptoms?

The symptoms of an abscess in the skin or soft tissues are:

  • swelling
  • redness
  • rounded, raised “head” like a pimple
  • pain
  • warmth in the area of the abscess
  • drainage of pus or other fluid

If the skin around the abscess has become infected, the redness may spread toward the center of the body and you may have a fever, body aches, and tiredness.

 

How is it diagnosed?

Your healthcare provider will ask about your symptoms and examine the area that is red and swollen.

 

How is it treated?

You should not open or squeeze an abscess yourself. This can make the infection worse; instead put warm compresses on the abscess several times a day until you can see your health care provider. Because the infection can spread to the surrounding tissue, your provider may prescribe antibiotics. Sometimes it is necessary to open the abscess and drain it. The procedure is called an incision and drainage, or I&D.  The skin over the abscess is cleansed and injected with a local anesthetic prior to the procedure. Often as soon as the abscess is opened and drained pain and pressure is relieved right away.

Your healthcare provider might pack the opened abscess with gauze to allow the pus to continue to drain out and prevents the abscess to sealing over again until healing has begun to occur.

 

How long will the effects last?

The time it takes for an abscess to heal depends on how big it is and how fast you heal. Sometimes it takes only a couple of days, but sometimes it takes weeks.

 

How can I take care of myself?

  • Follow your healthcare provider’s instructions for taking care of the abscess at home.
  • If your provider prescribes antibiotics, take them exactly as you are directed.
  • If the gauze comes out before it is supposed to, you may need to visit your provider to get it replaced so the skin does not heal shut too soon.
  • If you have medicine for pain, make sure to take it before you see your health provider to get the abscess repacked. It may hurt a little to take the gauze out and replace it.

 

How can I help prevent a skin or soft tissue abscess?

  • Clean your skin with warm water and soap as soon as possible after you are scratched, cut, or poked. Cover the area with a clean, dry bandage until it is healed. Change the bandage every day or more often if you have drainage.
  • Practice good personal hygiene. Bathe or shower daily or after strenuous activity.
  • Avoid sharing personal items like towels or razors.
  • If you think you may be developing an abscess, see your healthcare provider as soon as possible. Do not open or squeeze an abscess yourself. This can cause the infection to get worse.