Multiple choice questions on nursing care for neonatal perianal abscess

Neonatal perianal abscess needs to be treated promptly. In most cases, the condition can be controlled through cleaning care and drug treatment in the early stages. In severe cases, surgical intervention may be required. Parents need to cooperate with doctors to actively develop treatment plans.

The main causes of perianal abscess in newborns include local infection, weak skin barrier, and friction stimulation of stool during defecation. The stratum corneum of infants' skin is not fully developed, and it is easy to have perianal redness, swelling, lumps, and even pus accumulation due to bacterial infection. At the same time, unclean diapers, untimely replacement, or excessive force in cleaning the perianal area may aggravate skin damage and lead to bacterial invasion. Certain pathological factors such as low immune function may also lead to a higher risk of infection. In mild infections, it is usually manifested as redness and swelling around the anus, pain when pressing, but no abscess. At this time, strengthening perianal cleaning, keeping dry, and cooperating with doctors to prescribe antibacterial ointment for local application can effectively relieve symptoms. If the child shows poor spirit, continuous crying, obvious local nodules or even pus outflow, it means that the abscess has formed and surgical treatment may be required, such as incision and drainage. In severe cases, intravenous antibiotics and hospitalization for observation are required.

When caring, be sure to keep the perianal area clean and dry. After washing the anus with warm water, gently wipe it dry with clean gauze and avoid rubbing it hard. Choose diapers with good breathability and change diapers frequently to reduce skin moisture. If the doctor recommends the use of antibacterial ointment, remember to follow the dosage and usage time to avoid stopping the medication on your own. During the recovery period of the child, you can add probiotics to the baby to regulate the intestinal flora, help smooth bowel movements, and reduce the possibility of recurrence of abscesses. If the situation recurs or worsens, be sure to seek medical attention in time and follow the doctor's advice for comprehensive treatment. Parents need to be patient and comfort them, and don't worry too much. Scientific care and standardized treatment can effectively improve the baby's recovery rate and help stay away from perianal abscesses.