Nursing rounds for neonatal perianal abscess

Neonatal perianal abscess requires prompt diagnosis and comprehensive care to prevent further spread of infection or more serious complications. Core care includes keeping the area clean and dry, changing the dressing regularly, and observing changes in the condition. If any abnormality is found, medical attention should be sought as soon as possible.

Perianal abscess is a common soft tissue infection problem in newborns. The main causes include incomplete development of the baby's skin barrier, poor hygiene habits, and imperfect immune function. The causes can be divided into two aspects: genetic and environmental. Some newborns may have congenital immune system defects, which increases the risk of infection; external factors such as long-term damp diapers and poor hygiene conditions can also cause perianal skin damage, creating an environment for bacterial invasion. If not treated in time, the abscess can spread to nearby tissues and form fistulas, further aggravating the condition.

Treatment usually includes medication, surgery and home care. Mild infections can be treated with topical antibacterial ointments (such as Bactroban) combined with oral antibiotics. More serious abscesses may require incision and drainage. Such minor surgeries are usually performed under local anesthesia, are less painful and recover quickly. For infants with low immunity, doctors may recommend supplementation with immune enhancers to reduce the risk of reinfection. In home care, it is necessary to clean the area with sterile gauze moistened with warm water every day, reduce irritating actions, and avoid wound expansion. Choosing soft, breathable diapers and maintaining frequent changes can effectively reduce the risk of abscess development.

In order to avoid recurrence of perianal abscess in newborns, parents should also pay attention to the learning and implementation of infant hygiene management. For example, while changing diapers frequently and paying attention to cleaning, it is also necessary to avoid too frequent washing that may damage the skin barrier. If the abscess does not improve after more than 48 hours, it is recommended to seek professional medical help immediately to avoid possible complications such as sepsis or anal fistula. Through scientific care and professional treatment, newborns can fully recover. Parents not only need meticulous care, but also should give their babies sufficient attention and comfort psychologically to promote their rapid recovery.