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Factsheet

Boils and skin infections

Boils and skin infections are usually caused by bacteria. Avoid sharing items and wash hands thoroughly, especially after touching skin infections.

Last updated: 01 July 2012

What are Boils?

A boil is an infection of the skin, usually caused by Staphylococcus aureus bacteria (commonly known as golden staph). Many healthy people carry these bacteria on their skin or in their nose, but do not get infections. Boils occur when bacteria get through broken skin and causes tender, swollen sores, which are full of pus.

Other skin infections such as impetigo may be caused by staph bacteria. Impetigo, commonly known as school sores (as they affect school-age children), are small blisters or flat crusty sores on the skin. When the blisters rupture they release a yellow fluid and develop honey-coloured crusts.

How are they spread?

Boils and other skin infections are spread between people by:

  • squeezing, scratching or through contact with an infected area
  • using unwashed clothes, towels, or bed sheets that have been used by a person with a skin infection
  • using grooming items (eg nail scissors, tweezers, and razors) that have been used by a person with a skin infection
  • not washing hands carefully

How can you stop the spread?

  1. Hand washing is important to prevent the spread of boils and skin infections. You should thoroughly wash all parts of your hands with soap and running water for 10-15 seconds
    • before & after touching/dressing an infected area before handling or eating food
    • after going to the toilet
    • after blowing your nose
    • after touching or handling unwashed clothing or linen
  2. Keep cuts, scrapes, and boils clean and covered to avoid infection
  3. Don't share personal items such as clothes, towels, or bed sheets (if you share a bed with someone, keep sores or wounds covered overnight) or grooming items such as nail scissors, tweezers, razors and toothbrushes
  4. Wash bed linen and clothing regularly

How are they diagnosed?

Most skin infections are diagnosed on the basis of their appearance and the presence of any related symptoms (eg fever). Your doctor may take swabs or samples from boils, wounds, or other sites of infection to identify the bacteria responsible. Some infections may be caused by bacteria that are resistant to some antibiotics. See the MRSA in the community factsheet for detailed information on infections caused by antibiotic resistant strains.

How are they treated?

Keep boils or other skin infections clean and covered

  • bathe the boil or sore with soap and water or a salt water mixture
  • apply a hot compress to encourage the boil to come to a head
  • keep boils and other skin infections covered and change regularly

Do not squeeze boils
  • Drainage of skin boils or abscesses should only be performed by a doctor or trained nurse or health worker
  • In some circumstances infections may require treatment with antibiotics

If the sores spread or get worse, or the person becomes unwell with fever, see your doctor for further advice on treatment. Your doctor may prescribe antibiotics (by mouth or as an ointment). It is important to follow the recommended treatment and finish the full course of antibiotics.

What is the public health response?

Boils and skin infections are not notifiable in NSW. Public health units can advise on the control of outbreaks.

Further information - Public Health Units in NSW
For more information please contact your doctor, local public health unit or community health centre - look under NSW Government at the front of the White Pages
Metropolitan Areas Location Number Rural Areas Location Number
Northern Sydney Hornsby 02 9477 9400 Greater Southern Goulburn 02 4824 1837
Central Coast Gosford 02 4349 4845   Albury 02 6080 8900
South Eastern Sydney Randwick 02 9382 8333 Greater Western Broken Hill 08 8080 1499
Illawarra Shoalhaven Wollongong 02 4221 6700   Dubbo 02 6841 5569
Sydney South West Camperdown 02 9515 9420   Bathurst 02 6339 5601
Sydney West Penrith 02 4734 2022 Hunter/New England Newcastle 02 4924 6477
  Parramatta 02 9840 3603   Tamworth 02 6764 8000
Justice Health Service Matraville 02 9311 2707 North Coast Port Macquarie 02 6588 2750
        Lismore 02 6620 7585

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