Boil on buttocks

Furuncles are actually caused by inflammation of hair follicles or bacterial infection. Because they may recur, they must be treated promptly after discovery. Furuncles can appear anywhere, but are most common on the head, face, neck, and buttocks. Generally, if a boil appears on the buttocks, you can go to the dermatology department of the hospital for treatment. The treatment method is also very simple and can be treated with medication.

Treatment principles

1. Systemic treatment

Systemic antimicrobial drugs may be used if the lesions are located around the nose, in the nasal cavity, or in the external auditory canal; if the lesions are large and recurrent; if there is cellulitis around the lesions; or if the lesions are refractory to local treatment. Early, adequate and sufficient course of effective antibiotic treatment, commonly used antibiotics such as β-lactams, macrolides, lincosamides/clindamycin, etc. It is best to choose antibiotics based on bacterial sensitivity tests.

2. Local treatment

For early damage, topical antibacterial drugs include 2% mupirocin ointment, 2% fusidic acid cream, compound polymyxin B ointment, etc. Assisted by warm compresses, it can promote the maturation of skin lesions, drainage and relief of symptoms; ultraviolet light, infrared light, ultrashort wave and other treatments are effective in relieving inflammation.

3. Surgical treatment

Incision should be avoided during early skin lesions and acute inflammation. When the furuncle has become localized and has a sense of fluctuation, incision and drainage of pus can be performed.

Recurrent furunculosis should be prevented by self-vaccination. Some people believe that S. aureus is carried in the nasal cavity or perianal and adjacent skin. Clean these areas frequently, apply topical antibiotic cream, and change clothes and wash hands frequently. Recurrent furunculosis can be treated with oral rifampin for 10 days combined with cloxacillin 4 times a day or low-dose clindamycin for 3 months. Azithromycin or fluoroquinolone antibiotics can also be used for recurrent cases that do not respond to treatment.