What is the first treatment step for a severe case of paronychia?

The first treatment step for a severe case of paronychia involves drainage of an abscess. In cases where paronychia progresses severely, an accumulation of pus may form around the nail due to infection. This condition often results from bacterial or fungal infections that can lead to increased pressure and pain at the site.

Draining the abscess is crucial as it not only alleviates pain and pressure but also allows the infection to be addressed more effectively. By removing the pus, the pathway for the infection to resolve is established, allowing for better healing and potentially preventing further complications. After abscess drainage, other treatments such as topical ointments or oral medications may be used to support healing, but those steps follow the initial drainage. Therefore, initiating treatment with drainage is essential for managing the acute complications associated with severe paronychia.