Incision and drainage (I&D) is the primary treatment for a cutaneous abscess.
Lesions that appear superficial can often have associated abscess formation that is not clearly appreciated without debridement of the wound or, on occasion, additional
At the time of I&D, a sample should be obtained for culture and sensitivity testing. Superficial wound swabs of the purulent drainage prior to I&D is of limited utility and NOT recommended.
Antibiotics are an adjunct to I&D in the management of uncomplicated skin abscesses caused by CA-MRSA.
Antibiotic therapy should be given BEFORE I&D in patients with prosthetic heart valves
or other conditions placing them at high risk for endocarditis.
Indications for antimicrobial therapy in patients with cutaneous abscesses: