From the Guidelines
For an infected eyebrow piercing that is stuck due to swelling, it's best to seek medical attention promptly and start with oral antibiotics, such as clindamycin or doxycycline, for 7-10 days to treat the infection before attempting removal, as recommended by the Infectious Diseases Society of America 1. The use of antibiotics is crucial in this scenario, especially since the piercing is located on the face, an area considered difficult to drain and at higher risk for complications 1. Warm saline soaks can be applied to the area to help reduce swelling, but forceful removal of the jewelry should be avoided to prevent further trauma and worsening of the infection. The most recent study from 2017 highlights the potential complications of body piercings, including infections, and emphasizes the importance of seeking professional help to minimize risks 1. Signs of worsening infection, such as increasing redness, warmth, severe pain, pus, fever, or red streaking from the site, require immediate medical attention. Key considerations for treatment include the potential for antibiotic resistance, the need for individualized treatment based on the patient's clinical response, and the importance of proper wound care to prevent further complications 1. In terms of specific antibiotic choices, clindamycin and doxycycline are recommended for empirical coverage of CA-MRSA in outpatients with skin and soft tissue infections, including those with purulent cellulitis or abscesses 1. Overall, a prompt and professional approach to treating an infected eyebrow piercing is essential to prevent long-term morbidity and mortality, and to improve quality of life.
From the Research
Infected Eyebrow Piercing Management
- The management of an infected eyebrow piercing that is stuck due to swelling is crucial to prevent further complications.
- According to the study by 2, empirical antibiotic coverage for methicillin-resistant Staphylococcus aureus should be strongly considered in any patient with an eyebrow area abscess or preseptal cellulitis.
- However, the study by 3 suggests that antibiotic agents are not necessary for uncomplicated subcutaneous abscesses after incision and drainage, and these cases can be managed safely on an outpatient basis without any increase in morbidity.
Role of Antibiotics
- The study by 4 found that antibiotic duration, but not abscess size, impacts clinical cure of limited skin and soft tissue infection after incision and drainage.
- This suggests that antibiotics may be necessary for a certain duration to ensure complete cure of the infection.
- In the case of an infected eyebrow piercing, it may be beneficial to start antibiotics first to reduce the swelling and infection, and then remove the piercing once the swelling has subsided.
Removal of the Piercing
- There is no direct evidence to suggest the best approach for removing a stuck eyebrow piercing due to swelling.
- However, based on the available evidence, it is likely that starting antibiotics first to reduce the infection and swelling, and then removing the piercing once the swelling has subsided, may be the best approach.
- It is essential to consult a healthcare professional for proper evaluation and management of the infected eyebrow piercing.