What antibiotics are used for pilonidal cysts?
Wound infection should be treated with broad spectrum antibiotics, such as metronidazole and erythromycin, for at least two weeks depending upon response. Chronic pilonidal sinuses are best treated with wide excision and secondary healing. Long-term recurrence is reduced by good hygiene and regular depilation.
Most of the time, treatment is not needed because a pilonidal cyst will go away on its own. Rarely, it may need to be drained or surgically removed if it becomes infected. What are the risks of a pilonidal cyst? Pilonidal cysts may become infected and cause an abscess.
- A painful abscess can form if the cyst and the overlying skin become infected. Pilonidal cysts are caused by groups of hairs and debris trapped in the pores of the skin in the upper cleft of the buttock, forming an abscess.
- Keep the area clean and dry, and either shave or use depilatory creams to keep the area free of hair. Also, try to avoid prolonged sitting or excessive repetitive pressure to the area of the coccyx (tailbone). Weight loss in obese individuals may also help decrease the development and recurrence of pilonidal disease.
- A tailbone injury can be very painful and slow to heal. Healing time for an injured tailbone depends on the severity of the injury. If you have a fracture, healing can take between 8 to 12 weeks. If your tailbone injury is a bruise, healing takes about 4 weeks.
Your cyst became infected and your healthcare provider wanted to treat it with antibiotics. If the antibiotics don't clear up the infection, the cyst will need to be drained by making a small cut (incision). Local anesthesia will be used to numb the area.
- Sebaceous cysts are common noncancerous cysts of the skin. Cysts are abnormalities in the body that may contain liquid or semiliquid material. Sebaceous cysts are mostly found on the face, neck, or torso. They grow slowly and aren't life-threatening, but they may become uncomfortable if they go unchecked.
- Treating an abscess. If the cyst becomes infected and an abscess (a painful collection of pus) develops, you may be prescribed antibiotics to clear the infection. Once the infection has been treated, your GP may still recommend having the cyst drained, particularly if the abscess is large.
- Pilonidal disease is a chronic skin infection in the crease of the buttocks near the coccyx (tailbone). It is more common in men than women and most often occurs between puberty and age 40. Figure 1: Pilonidal disease affects the buttock crease area.
Surgery is needed to drain and remove a pilonidal cyst that does not heal. Your doctor may recommend this procedure if you have pilonidal disease that is causing pain or infection. A pilonidal cyst that is not causing symptoms does not need treatment.
- Pilonidal disease is an infection in the crease of a person's buttocks, from the bottom of the spine to the anus. Pilonidal disease can refer to a one-time cyst or a chronic condition. If not treated, chronic pilonidal disease can lead to abscesses and sinus cavities.
- If your incision is left open, it may take from a few weeks to several months to heal. After the incision has healed, you will have a scar where the cyst was removed. This will fade and become softer with time. Most people can go back to work and most activities after 2 to 4 weeks.
- A pilonidal cyst is a cystic structure that develops along the tailbone (coccyx) near the cleft of the buttocks, approximately 4 cm-5 cm from the anus. These cysts usually contain hair and skin debris.
Updated: 2nd October 2019