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Abscess In Children


An abscess

is an area under your child's skin where pus (infected fluid) collects. An abscess is often caused by bacteria, fungi, or other germs that get into an open wound. Your child can get an abscess anywhere on his or her body.

Common signs and symptoms of an abscess:

Your child may have a swollen mass that is red and painful. Pus may leak out of the mass. The pus will be white or yellow and may smell bad. Your child may have redness and pain days before the mass appears. Your child may have a fever and chills if the infection spreads.

Seek care immediately if:

  • Your child has a fever and chills.
  • The area around your child's abscess becomes more painful, warm, or has red streaks.
  • Your child is more tired than usual or feels faint.

Contact your child's healthcare provider if:

  • Your child's abscess gets bigger.
  • Your child's abscess returns.
  • You have questions or concerns about your child's condition or care.

Treatment for an abscess:

Your child's healthcare provider may need to make a cut in the abscess to allow the pus to drain. Your child may need surgery to remove the abscess. Your child may need any of the following:

  • Antibiotics help treat an infection.
  • Acetaminophen decreases pain and fever. It is available without a doctor's order. Ask how much you should give your child and how often to give it. Follow directions. Acetaminophen can cause liver damage if not taken correctly.
  • NSAIDs , such as ibuprofen, help decrease swelling, pain, and fever. This medicine is available with or without a doctor's order. NSAIDs can cause stomach bleeding or kidney problems in certain people. If your child takes blood thinner medicine, always ask if NSAIDs are safe for him. Always read the medicine label and follow directions. Do not give these medicines to children under 6 months of age without direction from your child's healthcare provider.
  • Do not give aspirin to children under 18 years of age. Your child could develop Reye syndrome if he takes aspirin. Reye syndrome can cause life-threatening brain and liver damage. Check your child's medicine labels for aspirin, salicylates, or oil of wintergreen.
  • Give your child's medicine as directed. Call your child's healthcare provider if you think the medicine is not working as expected. Tell him if your child is allergic to any medicine. Keep a current list of the medicines, vitamins, and herbs your child takes. Include the amounts, and when, how, and why they are taken. Bring the list or the medicines in their containers to follow-up visits. Carry your child's medicine list with you in case of an emergency.

Care for your child:

  • Apply a warm compress to your child's abscess. This will help it open and drain. Wet a washcloth in warm, but not hot, water. Apply the compress for 10 minutes. Repeat this 4 times each day. Do not press on an abscess or try to open it with a needle. You may push the bacteria deeper or into your child's blood. If your child's abscess opens, cover it with a bandage as directed.
  • Do not share your child's clothes, towels, or sheets with anyone. This can spread the infection to others.
  • Wash your hands and your child's hands often. This can help prevent the spread of germs. Use soap and water or an alcohol-based hand rub.

Care for your child's wound after it is drained:

  • Care for your child's wound as directed. If your child's healthcare provider says it is okay, carefully remove the bandage and gauze packing. You may need to soak the gauze to get it out of your child's wound. Clean your child's wound and the area around it as directed. Dry the area and put on new, clean bandages. Change your child's bandages when they get wet or dirty.
  • Ask your child's healthcare provider how to change the gauze in your child's wound. Keep track of how many pieces of gauze are placed inside the wound. Do not put too much packing in the wound. Do not pack the gauze too tightly in your child's wound wound.

Follow up with your child's healthcare provider in 1 to 3 days:

Your child may need to have the packing removed or the bandage changed. Write down your questions so you remember to ask them during your visits.

© 2016 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.