Seldom needs AB: Paronychia seldom needs therapy with antibiotics. Usually frequent hot compresses and soaks will bring it to a head and allow either spontaneous drainage or opening with a blade. If there is extension of the infection beyond the rim of the nail this requires more specific identification of the organism before treatment, but often drugs like clindamycin, Doxycycline and others can be started.
Answered 12/16/2015
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