Everyone at least once in his life experienced that unpleasant feeling when a doctor says that injections are indispensable. You have to prepare an injection site and, clenching your teeth, endure until the nurse finishes the procedure. Yes, the procedure is unpleasant, but in most cases it is vital. It doesn't always go the way you'd like. Sometimes complications can occur, such as a post-injection abscess.
Causes of disease development
What is the cause of the complication and can it be avoided? Since an injection is a penetration through a person’s natural barriers, it, like any other intervention in soft tissues, can cause an abscess of the buttocks. The most common reason is non-compliance with sterility standards:
- Nurse's hands were poorly treated.
- Through syringes, cotton wool or injected solution.
- Poorly treated patient skin, which, by the way, must be treated before and after the injection.
There are also other factors:
- Misuse of the drug. So, if the drug is to be used for intravenous or subcutaneous injection, but was mistakenly introduced intobuttock, the medicine is not completely absorbed. An infiltrate forms at the injection site.
- Wrong manipulation technique. This mainly includes choosing too small a needle or incomplete insertion into the muscle.
- Prolonged treatment of a patient resulting in too much fluid being injected into the muscle.
- Buttock abscess can also occur as a result of irritating drugs such as antibiotics or magnesium sulfate.
- Abscess is observed in people who are prone to obesity and have an impressive layer of subcutaneous fat.
- Decubituses.
- Increased allergic status. An abscess may develop as a result of an allergic reaction.
- Purulent skin infections can also cause festering.
- An abscess after an injection in the buttock can also occur against the background of reduced immunity, especially in the elderly and exhausted by various diseases.
- Having an autoimmune disease.
Treatment
In order to determine the method of treatment, it is necessary to establish the severity of the complication, as well as to identify the pathogen, which is sown from the contents separated from the wound. For more effective treatment, an antibiotic is selected that best copes with the pathogen. Antibacterial agents and painkillers are also prescribed. But only drug therapy for the treatment of an abscess of the buttocks will not be enough. The surgeon will advise you to open the abscess and clean the wound from pus. Otherwise, extensive damage to tissues is possible, followed by necrosis of tissues and mucous membranes. Only complex treatment will give the desired result.
Treatment at different stages is different from each other. It is better to consider them separately. Stage of infiltrate formation:
- The first thing to do is to stop treatment with the drug and immediately start treating the inflamed area.
- Physiotherapy and the introduction of proteolytic enzymes into the site of inflammation are very effective.
- Be sure to follow the dynamics of the development of the abscess. If no improvement is seen after 4 hours, then the patient is admitted to the hospital for surgical treatment.
External manifestations of an abscess
The depth of the lesion can be different, so it is sometimes impossible to visually determine the presence of inflammation. When pressing on the area of accumulation of pus, the patient feels severe pain. Distinguish between local and general symptoms.
Local include:
- Redness of the buttocks at the injection site.
- Swelling.
- Feeling pain when pressed, later without pressure.
- The skin is hot at the site of inflammation.
- If you put your fingers on the inflamed area and lightly press one of them, the other part will rise due to the presence of fluid in the buttock.
- At more advanced stages, the formation of fistulas is observed, the infection captures more and more large areas.
General condition of the patient
- Bad appetite.
- Excessive sweating.
- Increase in overall body temperature.
- Fastfatigue.
- Weakness in the body.
Abscess after an injection on the buttock, the treatment of which may be delayed, does not occur immediately. And this means that the time of the course of complications can be significantly reduced. To do this, it is important to recognize the problem at the infiltration stage. The general condition of the patient largely depends on the degree and size of the affected area. The stronger - the more toxins in the blood.
Features of the course of the disease with complications
Abscess of the buttocks, the photo of which does not cause pleasant sensations, can lead to serious problems. Its distinctive feature is the presence of an infiltration capsule. Therefore, the inflammatory process does not spread, but is located approximately in one place. But if the abscess from the injection on the buttock is not treated, then the capsule breaks under the pressure of a large amount of pus, and the contents spread through the tissues. Against this background, phlegmon or a fistulous tract may develop. They, in turn, can provoke sepsis and osteomyelitis.
Diagnosis
As a rule, one examination of the patient is enough for a doctor to make a correct diagnosis. To clarify the extent of the damage to the body, KLA, OAM, a biochemical analysis of urine and culture for microflora are prescribed. In chronic manifestations, ultrasound is prescribed, localization and degree of tissue damage are looked at.
Treatment
You should not engage in self-healing, it can be very harmful, and then the treatment of an abscess of the buttocks can drag on for a long time and have disastrous consequences. the bestthe method of treatment is surgical, in which the abscess is opened and the contents of the capsule are aspirated with a vacuum aspirator.
When suturing, drains must be left for better washing of the affected area. For this procedure, proteolytic enzymes are used. This allows not only to flush out pus, but also to prevent possible new foci of inflammation.
Prevention
The photos that are in the public domain will show the severity of the abscess after an injection in the buttock. Therefore, you should not start and bring to such a state, because the disease can be prevented, you just need to follow simple rules. Also, one of the unpleasant moments that appears after the treatment of an abscess of the buttocks is a cosmetic defect. After breaking through, an ugly scar remains. As a result of deformation of the fat layer, a depression is visible on the skin. This means that you should not delay going to the doctor, and you need to do it as soon as possible.
Ground rules:
- It is very important to follow the rules for administering medications. It is always worth considering the rate of administration of the drug, compatibility and the ratio in the syringe.
- Mandatory observance of injection technique. The needle must be fully inserted to penetrate the muscle.
- After the injection, the nurse should lightly massage the injection site to help the medicine dissolve better.
- You should never inject the drug in one place several times in a row. It is better to alternate one side with the other.
- Do not forget about such important concepts as antisepsis and asepsis. All medical personnel are required to disinfect their hands with the compositions necessary for this. The patient's skin also needs to be treated before and after the injection. Only sterile and disposable consumables are used for injection.
- The right choice of injection site. If for some reason it is impossible for the patient to make the right injection in the buttock, then it is better to look for another place suitable for this. This also applies to obese people, who have difficulty finding a suitable site.
If surgical treatment is performed, the patient must be under the supervision of a doctor for at least two weeks. The prognosis of recovery most often depends on the presence of complications and the general course of the disease. It is necessary to take into account the age of the patient and the state of his immune system. Rehabilitation measures are aimed at resuming normal muscle activity. Special attention should be paid to the restoration of the skin. Be sure to devote time to activities that are aimed at resuming the usual performance and normal well-being.
