Users' questions

Which antibiotic is best for perianal abscess?

Which antibiotic is best for perianal abscess?

In the study group, patients will receive oral treatment with Ciprofloxacin at a dose of 500 mg every 12 hours and Metronidazole 500 mg every 8 hours for a period of 7 days….Exclusion Criteria:

  • Spontaneous drainage.
  • Previous use of antibiotics.
  • Patients with a known allergy to Ciprofloxacin or Metronidazole.

How long does it take for a perianal abscess to heal with antibiotics?

It will probably take about 2 to 3 weeks for your abscess to completely heal. Most people get better without any problems.

What should I do if I have a Perianal abscess?

Appropriate treatment of perirectal abscesses and fistulas begins with correctly identifying the location and extent of infection. Most perirectal abscesses should have some type of imaging performed.

What causes a Perianal abscess with a fistula?

While some feel it originates from infected anal glands, others feel it results from another pelvic or abdominal process such as a complication of PID, diverticulitis, or inflammatory bowel disease. Appropriate treatment of perirectal abscesses and fistulas begins with correctly identifying the location and extent of infection.

Where does a Perianal abscess in the Ed originate?

Perirectal abscesses are not uncommon in the ED. The majority of these abscesses are believed to be the result of occluded anal glands with secondary bacterial infection. The anal glands originate in the intersphincteric space. The ducts from these glands penetrate through the internal sphincter and end in the anal crypts at the dentate line.

When to go to the ed for an abscess?

If the abscess is small and localized and the patient has no other co-morbid conditions, local I&D may be done in the ED with follow-up in 48 hours. Care must be taken to recognize fully the extent of cavity formation. If local anesthesia is inadequate to evaluate the area fully, admission for drainage in the OR is appropriate.