Fingernail Infection (Paronychia)
What is a fingernail infection?
A fingernail infection is an infection at the base of the
fingernail caused by bacteria or yeast.
Your child will probably have:
- a large pimple at the junction of the cuticle and the
fingernail
- redness and tenderness of this area
- occasionally, pus draining from this area.
What is the cause?
If the cuticle has a large pimple or is draining pus, it is
usually infected with the Staphylococcus bacteria. The bacteria
usually enters the skin through a break in the skin caused by
pulling on or chewing on the cuticle. If the cuticle area is only
red and swollen without pus, it is usually due to Candida (yeast).
Yeast infections usually occur in children that suck their thumb
or finger, bite their nails, swim a lot, or have waterlogged
cuticles from other activities.
How long will it last?
With proper treatment, this infection should clear up in 7 days.
If not, your doctor will probably prescribe an oral antibiotic.
How can I take care of my child?
- Antiseptic soaks
If the cause is bacteria, soak the infected finger 3 times a
day for 15 minutes in warm water and liquid antibacterial
soap. Do this for 4 days, or longer if the wound has not
healed.
- Antibiotic ointments (for bacterial infection)
Apply an antibiotic ointment 6 times a day. Your child's
ointment is ____________________________. Cover it with an
adhesive bandage. Continue to apply the antibiotic ointment
until no signs of infection remain.
- Open any large pimple
Open and drain any visible pus pocket using a needle
sterilized with rubbing alcohol or a flame. Make a large
opening where the pus pocket joins with the nail. If the pus
doesn't run out, gently squeeze the pus pocket.
- Yeast (Candida) infections
For yeast infections apply the medicine prescribed by your
healthcare provider 3 times daily. Also, keep the area dry. Do
not cover it with a bandage.
- Prevention
Discourage any picking or chewing of hangnails (loose pieces
of cuticle). Instead, cut these off with nail clippers.
When should I call my child's healthcare provider?
Call IMMEDIATELY if:
- Your child gets a fever.
- A red streak spreads beyond the cuticle.
Call during office hours if:
- The infection has not improved after 48 hours on home
treatment.
- The infection is not totally cleared up by 7 days.
- 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: 2007-05-16
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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