Treatment of septic dactylitis consists mainly of conservative and surgical treatment.
In the inflammatory phase, non-surgical treatments such as systemic antibiotics, local braking and physiotherapy are the mainstay. Timely and appropriate treatment can lead to a reduction and dissipation of inflammation. In the abscess phase, it is more difficult to cure the abscess with simple antibiotics and physiotherapy, so surgical incision and drainage is the main treatment method. During the repair phase, the principle of treatment is to keep the drainage open and to promote the growth of granulation tissue, so that the wound can become deeper and shallower until it eventually heals.
Regular dressing changes after abscess drainage or self-rupture, and the placement of drainage tablets in the wound to facilitate drainage of secretions and promote growth from the inside out. It is important to stress that the different periods of infection should be treated according to the actual condition, avoiding premature surgery or extensive and persistent abuse of antibiotics.
Otherwise, the infection is likely to spread or predispose the infected strain to changes such as drug resistance. The infection becomes uncontrollable as the bacteria that initially caused the infection are inhibited by effective antibiotics, while other non-susceptible bacteria grow rapidly and the infection becomes a mixed infection of multiple bacteria.