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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Medication For Puss On The Bandage Covering?

My sister in law just came in from Thailand. She has 4 stitches that needs to be removed on Monday. I notice in the middle of the almost healed laceration that there was a small drops of puss that came out. Now there us small drainage on the bandage covering. Should she use peroxide and triple antibiotic cream?
Mon, 12 May 2014
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Dermatologist 's  Response
Hello and welcome to healthcaremagic

The wound is definitely infected. The immediate next step should be to take her to the doctor and get the stitches removed so that the pent up pus can be released/drained away from the wound. It is important to remove the stiches because unless the stitches are removed the infection/pus would stay inside and might spread in the surrounding tissues

The wound can be left open and allowed to heal by secondary intention. It should be cleaned daily with betadine and covered with a topical antibacterial e.g 2% mupirocin OR an Antiseptic dressing

If I was the treating doctor I would have advised an empirical oral antibiotic for a week OR 10 days (My choice of oral antibiotic would have been Amoxycillin 500mg in combination with clavulanic acid 125 mg, thrice daily, for a week OR Cephalexin 500ng thrice daily OR Cefadroxil 500mg twice daily, for a week). That would take care of the infection.

An OTC pain killer e.g ibuprofen once or twice daily would help you deal with the pain.

regards
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What Is The Medication For Puss On The Bandage Covering?

Hello and welcome to healthcaremagic The wound is definitely infected. The immediate next step should be to take her to the doctor and get the stitches removed so that the pent up pus can be released/drained away from the wound. It is important to remove the stiches because unless the stitches are removed the infection/pus would stay inside and might spread in the surrounding tissues The wound can be left open and allowed to heal by secondary intention. It should be cleaned daily with betadine and covered with a topical antibacterial e.g 2% mupirocin OR an Antiseptic dressing If I was the treating doctor I would have advised an empirical oral antibiotic for a week OR 10 days (My choice of oral antibiotic would have been Amoxycillin 500mg in combination with clavulanic acid 125 mg, thrice daily, for a week OR Cephalexin 500ng thrice daily OR Cefadroxil 500mg twice daily, for a week). That would take care of the infection. An OTC pain killer e.g ibuprofen once or twice daily would help you deal with the pain. regards