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Patient education: Paronychia – ED discharge instructions (The Basics)

Patient education: Paronychia – ED discharge instructions (The Basics)

What are discharge instructions? — 

Discharge instructions are information about how to take care of yourself after getting medical care in the emergency department ("ED").

What should I know? — 

You came to the ED for paronychia. This is a skin infection that happens around the fingernails or toenails. The skin around your nail might be sore, red, or swollen. You might have small blisters near your nail.

The doctor might have drained the blisters. They also might have given you antibiotics or other medicines to treat the infection. It is very important to take all the medicine, even if you start to feel better.

How do I care for myself at home? — 

Ask the doctor or nurse what you should do when you go home. Make sure you understand exactly what you need to do to care for yourself. Ask questions if there is anything you do not understand.

You should also do the following:

Call your regular doctor and tell them you were in the ED. Make a follow-up appointment if you were told to.

Soak your nail in warm water for 20 minutes, 3 times each day.

Put triple antibiotic ointment (sample brand names: Neosporin, Triple Antibiotic) on the infected area after soaking it. Then, put on a clean, dry dressing.

Do not bite your nails or cut your cuticles. Keep your fingers out of your mouth. This helps prevent getting another infection.

When should I call the doctor? — 

Call for advice if you have:

A fever of 100.4°F (38°C) or higher, or chills

More drainage, redness, swelling, warmth, or pain around your nail

New or worsening symptoms

More on this topic

Patient education: Paronychia (The Basics)
Patient education: Fungal nail infections (The Basics)

This topic retrieved from UpToDate on: May 11, 2025.
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