When should antibiotics be considered for furuncles/carbuncles?

Antibiotics should be considered for furuncles and carbuncles when there are associated cellulitis or systemic symptoms. The presence of cellulitis indicates that there is an extension of the infection beyond the original site, which can lead to more serious complications if not treated appropriately. Systemic symptoms, such as fever, chills, or significant discomfort, suggest that the infection is affecting the body more broadly and may require systemic treatment.

In cases where the infection is limited and presents as a simple furuncle, antibiotic treatment is usually not necessary, as these can often resolve on their own with proper care, including drainage if needed. Chronic recurrences may require a different management strategy, such as addressing underlying conditions or recurrent infections, but do not necessarily warrant immediate antibiotic use. Treating minor cosmetic concerns with antibiotics is typically unwarranted, as it does not address the underlying infection and could contribute to antibiotic resistance.