Contraindication to I&D include:

• A. Fluctuant abscesses
• B. Infected puncture wounds
• C. Foreign bodies
• D. Recurrent abscesses

Answer: (D)

Recurring abscesses indicate a problem beyond a one-time drainage. Draining an abscess solves only the current pocket of pus; if abscesses keep coming back, there’s likely an ongoing source—such as a chronic inflammatory condition with sinus tracts, hidradenitis suppurativa, or a retained foreign body—that won’t be resolved by a single incision and drainage. In this situation, performing I&D as a stand-alone treatment won’t prevent future episodes and may delay appropriate evaluation and management. The focus should shift to addressing the underlying cause and involving surgical or specialty evaluation as needed, with antibiotics used as appropriate.