ANTIBIOTIC MANAGEMENT

Targeted antimicrobial coverage is an essential step in the treatment of pilonidal disease.

Bacterial infection plays a crucial role in the development and progression of pilonidal disease. The condition typically involves the formation of abscesses or sinus tracts in the upper buttock crease, where hair follicles become inflamed and infected. Bacteria are often present in high concentrations within the pus of these abscesses or along the inner lining of the sinus tracts.

While rare, in certain acute cases the infection can be severe enough to spread into the bloodstream potentially leading to sepsis, a serious systemic condition that affects multiple organs and requires immediate medical attention. In chronic cases, particularly those involving non-healing surgical wounds, antibiotic-resistant bacteria may contribute to persistent infection and hinder the healing process.

Effective management of pilonidal disease therefore requires targeted antibiotic therapy to address the specific bacterial strains involved. This treatment might include intravenous antibiotics before surgery, a tailored oral antibiotic regimen, or topical ointments, depending on the nature and severity of the infection. Proper antibiotic management is essential to effectively control the infection, promote healing, and reduce the risk of recurrence.