Boils (Abscesses)
What is a boil?
A boil is a tender, red lump in the skin. It is painful even when
not being touched. Boils are usually 1/2 to 1 inch across.
What is the cause?
Boils are caused by a bacterial infection of a hair root or skin
pore. The bacteria that cause boils are called Staphylococcus
(also called staph bacteria).
How long does it last?
Without treatment, the body will fight off the infection. After
about a week, the center of the boil becomes soft and mushy
(filled with pus). The skin over the boil then develops a pimple
or becomes thin and pale. The boil is now ready for draining.
Without lancing, it will drain by itself in 3 or 4 days. Until it
drains, a boil is extremely painful.
How can I take care of my child?
- Antibiotics
Boils heal faster and are less likely to recur if your child
receives an antibiotic that kills staph bacteria.
Your child's antibiotic is __________________________. Your
child's dosage is _________ given _______ times a day for
_______ days.
- Lancing or draining the boil
Until the boil comes to a head or becomes soft, apply warm
compresses 3 times a day for 20 minutes. When the boil is
ready, contact your child's healthcare provider. It's better
not to open a boil on your own child because it is a very
painful procedure.
Once opened, the boil will drain pus for 2 or 3 days and then
heal. Since the pus is contagious, the boil must be covered by
a large 4 x 4 inch gauze bandage and tape. Change this bandage
and wash the area with an antiseptic soap 3 times a day.
- Prevention of more boils
Boils can come back. The staph bacteria on the skin can be
decreased by showering and washing the hair daily with an
antibacterial soap. Showers are preferred because during a
bath bacteria are just moved to other parts of the skin.
- Contagiousness
The pus in boils is contagious. Make sure that other people in
your family do not use your child's towel or washcloth. Wash
any clothes, towels, or sheets that are contaminated with
drainage from the boils with Lysol. Any bandages with pus on
them should be carefully thrown away.
- Common mistakes in the treatment of boils
Sometimes friends or relatives may advise you to squeeze a
boil until you get the core out. The pus in a boil will come
out easily if the opening is large enough. Squeezing is not
only very painful but also carries the risk that bacteria will
be forced into the bloodstream. Squeezing can also cause other
boils in the same area. Squeezing boils on the face is
dangerous.
When should I call my child's healthcare provider?
Call during office hours if:
- The boil is not better within 48 hours after starting the
antibiotic.
- The skin around the boil turns red or red streaks appear.
- The boil has come to a head and needs to be opened.
- You have other concerns or questions.
Written by B.D. Schmitt, MD, author of "Your Child's Health," Bantam Books.
Published by
RelayHealth.
Last modified: 2007-04-17
Last reviewed: 2008-06-09
This content is reviewed periodically and is subject to
change as new health information becomes available. The
information is intended to inform and educate and is not a
replacement for medical evaluation, advice, diagnosis or
treatment by a healthcare professional.
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