A purulent wound appeared. Treatment of purulent wounds and methods of their treatment

Antipyretics for children are prescribed by a pediatrician. But there are emergency situations with fever when the child needs to be given medicine immediately. Then the parents take responsibility and use antipyretic drugs. What is allowed to be given to infants? How can you lower the temperature in older children? What medications are the safest?

Cuts and scrapes are part of everyday life. In most cases, such wounds heal easily. However, sometimes bacteria enter the wound and lead to a potentially dangerous infection. Early recognition of infection facilitates rapid and effective recovery. Most often, taking antibiotics (depending on the severity of the infection) is enough to get better. There are several signs of infection - redness, purulent discharge and pain. The ability to check a wound for infection is an integral part of health care.

Steps

Check for increased pain, redness, swelling and temperature around the wound

    Wash your hands. Be sure to wash your hands before examining the wound. If you think the wound is infected, dirty fingers will only make the situation worse. Wash your hands with antibacterial soap and water before touching the wound.

    • Remember to wash your hands after touching the wound.
  1. Examine the wound carefully. Remove before examining wounds. Do this carefully so as not to damage the sensitive area. If the bandage does stick to the wound, wet it with running water or use a spray bottle.

    • Once the bandage is removed, throw it away and never reuse it.
  2. Notice the redness and... Carefully examine the wound and pay attention to the redness: whether it has increased or decreased. If the wound is red and the redness spreads to surrounding tissue, this is a sign of infection.

    • The skin around the wound may also feel hot to the touch. If you have any of these symptoms, consult your doctor.
  3. Notice if the pain increases. The appearance or intensification of pain is a sign of spreading infection. Pain alone or along with other symptoms (eg, swelling, heat, pus) is a sign of infection. Consult your doctor if the pain gets worse. Pain may be felt deep in the wound. Thus, swelling around the wound, heat (warmth) and tenderness (pain) are the first signs of an infected wound.

    Do not use antibiotics (unless prescribed by your doctor). Studies have shown that antibiotic ointments do not help treat wound infections. The infection spreads throughout the body, so topical antibiotics are not an effective way to fight the infection.

    After examining the wound, apply a new sterile dressing. If there are no signs of infection, apply a bandage to protect the wound. If there are signs of infection, apply a sterile dressing to protect the wound from further contamination and consult a doctor.

    • When applying a bandage, make sure that the adhesive surfaces of the bandage (if any) do not come into contact with the wound. The bandage should be large enough to completely cover the wound.
  4. If the wound continues to fester, consult a doctor. A little discharge from a wound may be normal - it means the body is fighting an infection. But if yellowish or greenish pus comes out of the wound, consult a doctor. This is especially necessary if, along with the discharge, other symptoms of inflammation described above are observed.

Check for lymphatic system infection

    Carefully examine the skin around the wound for red lines. These lines spread across the skin from the wound. Red lines mean that the infection has penetrated the vessels of the lymphatic system (it plays an important role in metabolism and cleansing the cells and tissues of the body).

    Locate the lymph nodes closest to the wound. For the arms, the nearest lymph nodes are in the armpits, for the legs - in the groin area. Lymph nodes can also be found on the sides of the neck (under the lower jaw on the left and right).

    Check your lymph nodes. Using two or three fingers, gently press the area of ​​the enlarged lymph nodes. It is more convenient to palpate the lymph nodes to detect pathology with both hands at the same time. In a healthy person, the lymph nodes are symmetrical on both sides.

    Feel to see if the lymph nodes are enlarged and if there is any pain. If the lymph nodes are swollen or painful to touch, this may indicate an infection, even if there are no red stripes. In normal condition, the size of the lymph node is 1.5 cm and it cannot even be felt. Lymph nodes can double or even triple in size; in this case you can easily find them.

Take your temperature and assess your overall health

    Measure the temperature. In addition to the above symptoms of wound infection, you may develop a fever. If the temperature rises to 38 °C, then this is a sign of an infected wound. You should see a doctor without delay if you have a fever and some symptoms of a wound infection.

    Notice if your overall health has worsened. A sign of an infected wound may be general malaise. If you get injured and then feel unwell a few days later, it's most likely related. Check the wound for signs of infection and if it does not improve, consult a doctor.

    • If you have a headache, dizziness, upset stomach, or vomiting, these are signs of infection. A recent rash is another reason to see a doctor.
  1. Pay attention to the lack of fluid in the body. Dehydration may be a sign of an infected wound. Some of the symptoms of dehydration are: infrequent urination, dry mouth, sunken eyes, dark urine. If you experience these symptoms, immediately check the wound for signs of infection and consult a doctor.

    • While fighting the infection, you need to drink enough fluids and stay hydrated.

Know what to do in serious cases

  1. Find out what types of wounds can become infected. Although most wounds heal without difficulty, some factors lead to wound infection. A wound becomes infected if it is not properly cleaned and cared for, or if it is located in an area where it is easier for bacteria to enter (for example, leg wounds). If you are bitten by an animal or even a person, the wound is most likely infected.

    Learn about other risk factors for infection. Wounds are most likely to become infected in people with weakened immune systems, such as diabetes, HIV, or malnutrition. Bacteria, viruses and fungi, which the body of a healthy person can cope with, penetrate the body of people with weakened immunity and multiply in it. This is especially true for people with severe burns because their first line of physical defense (skin) has been damaged.

    Watch for signs of a serious infection. You may experience a fever and dizziness, as well as a fast heart rate. The wound will be hot, red, swollen, and painful. You may smell a foul odor, like rotting. All of these symptoms can be mild or very severe, but if you have more than one of them, you need to see a doctor.

    • If you feel dizzy or have a fever, do not drive. Ask a friend or relative to take you to the hospital or call an ambulance. You may need to be treated with strong antibiotics.
    • If in doubt, it is better to consult a doctor. In case of infection, it is not enough to diagnose yourself based on articles from the Internet. Only a doctor can accurately diagnose an infection.
  2. See your doctor. If you think the wound may be infected, contact your surgeon or emergency room. This is especially important if you have a medical condition or another risk factor for infection.

Contents of the article: classList.toggle()">toggle

When receiving a wound of any nature, the most important point is to prevent possible tissue infection, which will significantly complicate treatment and increase the healing period of the injury.

If infection has occurred and an active purulent-inflammatory process is observed, it is important to know what measures should be taken to correct this situation.

What to do if the wound has festered, how to treat a festered wound, what ointments can be used and how to treat a purulent injury at home - you will learn more about all this by reading this article.

Signs of an infectious process in a wound

It is important to remember that any wound received, regardless of its type, size and severity, is considered infected with harmful microorganisms. The only exception here is injuries resulting from surgical interventions and operations, since they immediately undergo the necessary treatment and are therefore considered sterile.

When an infection develops that gets into the wound along with a traumatic object or from the environment, certain signs can be observed. In particular, at the early stage of development of an anaerobic infection, severe intense pain appears at the site of injury, creating a feeling of tissue distension. In this case, pain may appear unexpectedly, seemingly against the general background of the patient’s normal condition and relative well-being. Such pain can manifest itself in a different period, which can range from several hours after treatment of the injury to 1 – 2 days.

The nature of the pain differs in intensity and persistence, such sensations cannot be eliminated by any medications. The pain persists even after the bandages are removed or loosened, it becomes exhausting, constant, and disturbs the patient’s sleep and peace.

Some time after infection, pronounced swelling begins to appear at the wound site, occurring in the direction from the peripheral part of the purulent-type injury to its center, while the surface of the tissue becomes either sharply pale or purplish-bluish in color.

The phenomenon of tissue crepitus may occur when gases begin to accumulate in them. Clinical signs of toxic-infectious shock gradually begin to appear.

In some cases, signs of infection may be smooth, not indicating the presence of an obvious pathological process. In this case, to clarify the diagnosis and identify the development of infection, a special bacteriological study is carried out.

What to do if the wound fester

The goal of treating a purulent wound in which suppuration is observed is always to remove from it not only protruding pus, but also dead tissue.

It is important to wash your hands thoroughly with soap and water before starting wound care., as well as monitor the cleanliness and sterility of all materials and tools used. Hands can be treated with an antiseptic, after which medical disposable gloves should be put on.

Bandages, as well as gauze for liners in dressings and gauze pads, must be sterile. This condition is mandatory. Instruments used for dressing must be sterilized.

After removing the dirty bandage from the damaged area and carrying out the initial cleaning of pus, gloves must be changed. After that, with the help of tweezers, take a gauze napkin, soak it or iodine, and treat the skin surface around the wound several times. Such a measure is necessary to prevent re-infection of the injured area with bacteria and microbes located on the surface of the skin.

After washing and cleaning, a special ointment belonging to the category of antibacterial, which has an antimicrobial effect, should be applied, for example, Solcoseryl, composition. The ointment is applied directly to the surface of the wound, covered with a sterile gauze, which is attached with patches of plaster or a sterile bandage.

Treatment of purulent wounds always consists in correct and regular treatments., changing dressings, as well as applying specialized ointments to the wound site. Treatment should be as intense as possible, so it is important to treat and change dressings every 4 to 6 hours.

Preparations for the treatment of festering wounds

The main means of treating purulent wounds are specialized ointments, which are subject to special requirements in medicine.

Means for the treatment of purulent wounds should:

  • Effectively destroy infections located inside the injury.
  • Slow down and completely stop the development of the inflammation process.
  • Clean wounds from secreted pus, as well as dead areas of damaged tissue.

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  • Form a reliable barrier that protects the wound from the penetration of various harmful microorganisms from the environment.
  • Do not interfere with the removal of pus. Purulent formations must have a free exit.

When treating at the first stage of the recovery process, starting approximately from the third day after receiving the wound, it is recommended to use water-based ointments, for example, Sulfamekol, Levomekol, and Dioxin at a concentration of 5%. In addition, after cleaning and treating the wounded areas, ointments are applied, the purpose of which is to stop the growth and spread of bacteria, as well as to accelerate tissue regeneration processes.

It is important that the ointments applied accelerate the granulation process. You can also use, for example, Tetracycline or Gentamicin.

Ointments that have a combined effect are also used in treatment, capable of not only eliminating the existing inflammatory and infectious process, but also stimulating the healing of damage. Such remedies include the well-known Vishnevsky ointment, Oxycyclosol, and Levomethoxin. The application of such drugs under medicinal dressings stimulates faster scar formation.

Often, in the treatment of purulent wounds, ordinary Ichthyol ointment is used, which has a budget cost and excellent effectiveness. It has a pronounced antiseptic effect and has an analgesic effect on damaged tissue. In addition, ointment with ichthyol has anti-inflammatory properties.

An important point is that this drug, when applied to wounds, does not enter the general bloodstream, and therefore does not have a systemic effect and does not affect the entire body. Such properties of the drug allow it to be used even in the treatment of pregnant and lactating women.

Traditional methods for treating purulent wounds

How to treat a festering wound at home:


When to see a doctor

You should consult a doctor for help if you receive any fairly serious injury to the skin and soft tissues.

Of course, minor injuries, such as ordinary household cuts with a kitchen knife when cooking, scratches and other minor injuries, can be treated at home yourself, using the right products and timely treatment of wounds. But for more serious injuries, you should consult a doctor.

Seeing a doctor is mandatory if signs of inflammation, pain, tissue swelling, severe redness and the formation of pus begin to appear in the wound.

What to do if the wound festers and does not heal for a long time? If in this case the patient’s condition worsens, then you should immediately consult a doctor.

A common pathology that is addressed to surgeons is a purulent wound. This condition requires timely and adequate treatment to avoid severe consequences. In the treatment of purulent formation, antibacterial agents are used that suppress dangerous microflora and help cleanse it. In addition, symptomatic treatment aimed at eliminating pathological symptoms is advisable.

In this section you will find answers to the following questions: what are the causes and symptoms of infection of injuries, how to treat purulent wounds, what drugs can be used, what to smear on a purulent wound, how to properly bandage a suppurated wound, and you will find answers to other equally important questions that interest you .

Causes of wound suppuration

Any wound can fester. The process of suppuration develops under the following conditions:

  • Contamination of the wound, entry of foreign bodies into it. This contributes to significant contamination of the wound with bacteria;
  • Large area of ​​damage, crushing of soft tissues, puncture wound with a narrow and long course;
  • The presence of areas of necrosis (dead tissue), blood clots in large quantities.

In modern surgery, there are several main reasons that provoke the development of purulent injury:

Symptoms of infection

The clinical picture of a purulent wound is very characteristic. Experts identify both local and general symptoms, the severity of which depends on the type and size of the injury.

Local signs include:

  • Purulent discharge is visualized in the lumen of the injured area. Their color can range from light yellow to brown. It depends on the causative agent of the infection (staphylococcus, streptococcus, E. coli, fungi, and so on);
  • Intense pain. In the presence of an unopened abscess or swelling, it is pulsating in nature. Sometimes the pain is unbearable;
  • Hyperemia(redness) in the area of ​​damage;
  • Swelling of the surrounding soft tissues;
  • Local hyperthermia, that is, the skin around the wound is hot to the touch;
  • If a limb is damaged, its functions are severely impaired.

General signs of pathology are characterized by a violation of the patient’s condition:

  • Weakness, lethargy;
  • General hyperthermia is an increase in body temperature, which is accompanied by chills;
  • Decreased appetite or its complete absence;
  • Nausea;
  • A laboratory blood test reveals signs of inflammation; leukocytosis (increase in the number of white blood cells), accelerated ESR (erythrocyte sedimentation rate).

How to remove pus from a wound

For processing to be effective it is necessary. If there is little pus, then you can simply wash the wound with solutions. However, if there is heavy discharge, the contents of the injury should be drawn out. Drains can be used for this purpose.

Drainage happens:

Local medications are aimed at preventing the spread of purulent wound infection throughout the body. In cases where this type of therapy does not have the desired effect or complications develop, general treatment using systemic action is indicated.

The following groups of drugs are most often used:

  • Tetracyclines (Doxycycline);
  • Semi-synthetic penicillins (Ampiox, Ampicillin);
  • Macrolides (Azithromycin, Clarithromycin);
  • Aminoglycosides (Gentamicin, Izepamycin).

Systemic antibacterial drugs are available both in the form of capsules, tablets, and in the form of solutions and powders for injection. The attending physician decides which form of the drug to use in a given situation.

When the infection has spread significantly, parenteral antibiotics are indicated. In severe cases, they are administered intravenously.

It should be remembered that uncontrolled use of antibacterial agents leads to the adaptation of microorganisms to them and the emergence of resistant forms. That is why all prescriptions should be made by a doctor and only if other treatment methods do not work.

Wound dressing and bandage care

It is carried out 1 – 2 times a day depending on its condition.

In some cases, emergency dressing may be required:

  • Significant contamination and wetting of the bandage;
  • The appearance of bloody discharge, which is clearly visible on the bandages;
  • Increased pain;
  • If the bandage has slipped and exposed the wound.

This manipulation is performed by a surgeon and a nurse. In case of severe pain, anesthesia is required.

Bandaging of a purulent wound:

During the day it is necessary to monitor the bandage and monitor its condition. It must be protected from getting wet and dirty. If the bandages are moderately saturated with pus, the nurse should bandage the bandage. If the discharge is heavy or bloody, you should inform your doctor.

Traditional methods of treatment

Justified in the presence of small wounds with slight discharge of pus. Before using such methods, you should consult with your surgeon and rule out allergies to the components.

For washing and processing use:

Aloe pulp has a good wound healing effect. The leaf of this plant should be washed, peeled and used whole or crushed (gruel). This compress needs to be changed every 3 hours.

Onions and garlic have antiseptic and antibacterial properties; they are also used in the treatment of purulent wounds. A paste is prepared from them, which is applied to the injury on a napkin. This compress should be secured with a bandage.

Possible complications

Purulent wounds can lead to the development of complications:

  • Unhealed wound- if for a long time (longer than 7 days) there is no visible tendency towards cleansing and healing;
  • Lymphangitis– inflammation of the lymphatic vessels located near the injury. There are red strands on the skin. In this case, the infection extends beyond the wound surface;
  • Lymphadenitis– the infection spreads to regional lymph nodes. They increase in size (rounded formations are visualized) and hurt. There may be a slight increase in body temperature;
  • Osteomyelitis– inflammation of bone tissue. This condition develops when the infection penetrates deeper into the soft tissue;
  • Sepsis– general infection of the body, which manifests itself as intoxication. In severe cases, there are signs of brain damage and coma.

Hello, regular and new subscribers to our blog! In the next article, we decided to pay attention to an important issue of interest to owners of problem skin of the face and body. What is pus and how is it formed, is it possible to prevent the appearance of ulcers, and how to deal with them?

The skin is an independent organ, like the stomach or heart. The area of ​​an adult's skin reaches about 2 square meters. On the entire surface, except for the feet and palms, there are sebaceous glands that produce sebum.

In a healthy body, the volume of fat is enough to naturally lubricate the skin. The lubricant protects the body and face from injury and mechanical damage.

When the balance is disturbed (malfunctions of various internal organs, increased production of hormones, etc.), an increase in the produced fat is observed. The skin cannot cope with its removal, and sebum accumulates in the pores of the skin.

Over time, it hardens, and when interacting with oxygen, it darkens. Harmful microorganisms that enter the sebaceous duct along with particles of dirt and dust cause blockage and provoke inflammation. During their life, bacteria release products that contribute to the development of inflammation; A purulent core begins to mature inside the pimple.

Pus is nothing more than frozen sebum mixed with waste products of microorganisms, sweat and dirt. For women, you can add particles of decorative cosmetics for the face (foundation, powder, foundation).

The maturation of the abscess can take a long time (from several days to several weeks). Throughout the entire period, it is accompanied by painful sensations, and the skin around the pimple becomes red and swollen.

After the pus comes out, a noticeable mark remains in place, which will take a lot of time to heal.

The main stages of the formation of ulcers

Doctors identify several stages in the formation of purulent acne on the skin of the face and body:

  • pollution and blockage of pores with excess sebum;
  • development of the inflammatory process;
  • the appearance of the first pimple;
  • progress of the disease (the appearance of many pimples, the formation of pus).

Human skin is designed in such a way that it renews itself (on average, once every 1-1.5 months). Outdated, dead cells are removed, and new ones take their place. Renewing the skin helps our body resist the negative effects of the external environment (sun rays, dust, etc.).

The formation of pus in a pimple is the last stage that cannot be ignored. In other words, we didn’t notice the clogged pores, didn’t clean them in time, and gave up on inflammation and the appearance of a small pimple. And only a large, painful abscess makes us sound the alarm.

NOTE!

To quickly get rid of blackheads, acne and pimples, as well as to rejuvenate your facial skin, we recommend that you read this effective remedy .

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Causes of ulcers

If skin care is really chosen correctly, but ulcers still form, what could this be due to? Doctors name several different reasons:

  • increased sweating (result – rash on the back, shoulders, chest);
  • hyperkeratosis (may be hereditary), when the upper layers of the epidermis quickly become coarser and the pores expand;
  • long-term use of antibiotics, hormonal drugs;
  • hormonal changes in the body in women (before menstruation, during menopause);
  • prolonged depression and stress (affect hormone production);
  • noticeable lack of vitamins (especially group B);
  • poor nutrition and chronic lack of sleep.

In women who regularly use cosmetics, the appearance of ulcers is associated with:

  • comedogenic properties of creams;
  • poor quality skin cleansing in the evenings (when makeup is not completely removed);
  • samples of “not my own” products (a friend let me use her foundation or powder with puff, etc.).

Also, the appearance of pus and the formation of large pimples are associated with independent attempts to remove small rashes. Have you seen a small pimple and couldn't resist touching it?

Then don’t be surprised that after a few days, swelling and redness will appear in the same place, and then an abscess will come out.


What to do if pus appears

Both certified doctors and traditional healers agree that it is impossible to try to squeeze out abscesses on your own before they mature. However, you can:

  • accelerate the period of maturation of the purulent core;
  • painlessly and quickly pull it out;
  • speed up skin healing.

If touching the abscess or the skin around it causes pain, unpleasant sensations arise - this means that the core inside is still maturing. A formed, fully mature pimple may be gigantic in size, but it does not hurt. This is the kind of blackhead that can be removed by first steaming the skin and disinfecting your hands.

To accelerate the maturation of ulcers and pull out the rod, three proven means are used:

  • Vishnevsky liniment;
  • ichthyol ointment;
  • pulp of aloe leaves (attached as a compress over the pimple).


Ointments will help relieve inflammation and stimulate skin healing: levomekol, streptocidal, syntomycin, zinc.

An effective modern remedy from Germany, which is popular in more than 20 countries around the world.


Its cost is about 350 rubles, and its action is similar to ichthyol and Vishnevsky ointment: it draws out pus, helps open the abscess/boil.

Elon K ointment also has advantages in comparison with its analogues:

  • has a pleasant smell;
  • does not stain clothes;
  • less often applied to the site of inflammation;
  • has anti-inflammatory and analgesic effects.

From simple folk remedies, a purulent rash is treated:

  • tea tree oil (disinfects, dries, disinfects, heals, eliminates hyperemia);
  • herbal tinctures (calendula, horsetail);
  • aloe juice;
  • infusion of propolis.

Remember: if self-treatment of ulcers does not bring the expected result, you must seek medical help. Purulent formations cannot be ignored, as the risk of blood poisoning increases.

We hope that the tips described will be useful to you, dear readers. See you again on our blog!

For the treatment of pimples, acne, acne, blackheads and other skin diseases caused by adolescence, diseases of the gastrointestinal tract, hereditary factors, stressful conditions and other reasons, many of our readers successfully use Elena Malsheva's method . After reviewing and carefully studying this method, we decided to offer it to you.

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A purulent wound is damage to soft tissue with purulent discharge, edema, necrosis, and toxic poisoning. A purulent infection with the participation of pathogenic microorganisms causes an inflammatory process with tissue melting, infects the environment and can provoke the development of sepsis.

Purulent wounds occur as a result of infection during injury, after surgery or opening an abscess. Activators of purulent processes are pyogenic bacteria: streptococci, staphylococci, pneumococci, etc.

The development of suppuration is influenced by the state of a person’s immunity, the presence of chronic diseases, age and body constitution. Weakened immunity always becomes a provoking factor for wound suppuration.

Pathogenesis and etiology of development

Purulent wound infectious injuries heal according to the principles of secondary healing. The healing process is a single purulent granulation period, including suppuration and granulation of the wound.

Wound suppuration is essentially an important biochemical process of cleaning it with the participation of proteolysis. The appearance of granulation tissue is impossible without suppuration.

Any wound period, from a scratch to major damage, can be characterized by three phases:

  1. An inflammatory period during which a complex biochemical and pathophysiological complex occurs without regenerative signs.
  2. Regeneration period – new granulation tissue forms and matures in the wound cavity.
  3. The third stage is epithelization and scarring of the tissue.

The inflammatory process takes place in two stages: first, vascular changes occur, the next step is the cleansing of the wound area from necrotic masses of dead tissue. At this time, all successive phases of acute inflammation are expressed:

  1. Narrowing of the lumen of blood vessels (vasoconstriction).
  2. After relaxation of the muscles of the blood vessels, expansion of the lumens, adhesion and penetration of leukocytes into the inflammatory focus (vasodilation) occurs.
  3. Increased tissue permeability, increased capillary pressure, swelling and migration of leukocytes.

Important! It is necessary to draw out the pus from the wound and clear the surface of necrotic tissue, as this dynamically promotes the normal regenerative healing process.

The main symptomatic signs of suppuration

Local and general characteristics of wound suppuration are distinguished.

Local symptoms are tissue deformation with purulent exudate, pain, hyperthermia and hyperemia of the area, swelling and impaired functionality of the damaged area. Painful impulses are characterized by pressing and bursting sensations. If the outflow of exudate is difficult due to the formation of a crust, pus begins to accumulate, and the pain becomes piercing. Severe redness of the skin around the lesion is observed; with long-term inflammation, the skin becomes purplish-blue in color.

Swelling is distinguished by two types: within the injury - warm, inflamed part; in the distance - cold reactive areas without pronounced redness.

The main symptom of purulent inflammatory processes is purulent exudate, bacterial fluid with detritus, gamma globulins, fermented leukocyte and bacterial formations, fats, cholesterol, DNA molecules.

The saturation and color of the exudate completely depend on the bacterial bacillus that caused the infectious process:

  • staphylococcal pathogens are characterized by the formation of yellowish or whitish pus;
  • streptococcal infection - liquid green exudate;
  • intestinal bacteria - a brown, yellowish, watery mass;
  • anaerobic microorganisms – brown, foul-smelling exudate;
  • Pseudomonas aeruginosa is a yellowish liquid with a bluish-green color.

Under the level layer of purulent deposits there is an area of ​​necrotic tissue with regression of granulation.

Toxic substances enter the patient’s body from the injured area, which provokes the appearance of symptoms of general intoxication of the body. The period of suppuration is characterized by general clinical signs:

  • loss of appetite;
  • increased sweating;
  • fever, weakness, chills;
  • headache;
  • increase in overall temperature.

General clinical blood tests reveal an increase in the erythrocyte sedimentation rate, the leukocyte formula shifts to the left. A general urine test indicates the appearance of protein.

During the course of the disease, urea, creatinine, and bilirubin levels increase. Severe intoxication of the body with toxins provokes a violation of the patient’s consciousness.

Important! The purulent exudate should be pulled out from the wound as soon as possible, before the inflammatory process spreads to the surrounding tissues.

Effective therapeutic treatments

The chosen method of treating a purulent wound depends on the duration of the suppuration process.

At the first stage of the formation of purulent exudate, the main principles of treatment of purulent wounds are cleansing the surface, treating the inflammatory process in the body, eliminating pathogenic bacteria and reducing intoxication.

The second stage of the purulent process: the nature is expressed in the formation of granulation tissue under the thickness of purulent accumulation. The main method of treatment is to stimulate regenerative processes for the formation of epithelium.

Professional treatment of purulent wounds:

  • the edges of the inflammation or the skin over the purulent formation are dissected;
  • purulent masses are removed, the cavity is drained and examined for the presence of internal leaks;
  • when indicated, the leaks are opened and necrotic masses are removed;
  • the bleeding stops, the wound is washed and drained.

A surgical suture is not applied to the treated area; suture application is allowed only after flow-through drainage.

With traditional treatment, complex methods of surface treatment are used using antiseptic pulsators, vacuum and ozone effects, laser treatment, and cryotherapy.

Methods of detoxification of the body include forced diuresis, infusion therapy, and extracorporeal hemocorrective transfusions.

All therapeutic and surgical actions are carried out in conjunction with antibacterial drug therapy. Antibiotics are prescribed orally or injectably. In the first phase of the infectious-purulent process, broad-spectrum antibiotics are used: Amoxiclav; Ciprofloxacin; Amoxicillin.

As a result of identifying the causative agent of the infection, the attending physician prescribes an individual direction for the use of highly targeted medications, depending on the susceptibility of the bacteria.

Pharmacological preparations for external use

At the initial stages of the regeneration period, treatment of wounds at home using ointments is not recommended. The ointment will create an obstacle to the natural outflow of exudate from the cavity. During this phase, hygroscopic dressings with a maximum antiseptic content are necessary. The following are used as effective antiseptics: Dioxidin; Chlorhexidine; Miramistin; Sodium chloride; Orthoboric acid; potassium permanganate; Furacilin.

Only after the third day of healing can ointment antibiotics be used, exclusively on a water-soluble basis, having a pulling effect: Levosin; Sulfamicol; Dioxidine ointment; Levomikol.

It is possible to optimally heal the wound and prevent the development of complications by using a popular tactic, for which chemical necrectomy is used using proteolytic fermented medications with antimicrobial and anti-inflammatory effects. The following chemical necrectomy is used: Trypsin, Chymotrypsin and Himopsin.

The product is applied to the surface of the wound or the space is irrigated together with antiseptic solutions. Also, to remove purulent exudate, the damaged area is treated with sorbents: Polyphepan.

Important! Any treatment for purulent wounds should consist of antibiotics.

Rehabilitation period

After relieving the inflammatory process and cleansing the wound of necrotic tissue with exudate, it is necessary to begin the recovery stage. The main goal of rehabilitation therapy is to suppress the remaining infection and stimulate tissue regeneration. Conversion therapy consists of accelerating the growth of granulation surfaces and preventing the possibility of relapse (secondary suppuration).

This phase of treatment is less strict: the number of leukocyte formations is reduced, so drainage and hygroscopic dressings are no longer required. Granulation tissue has a thin, easily damaged structure; treatment requires ointment-based products that prevent mechanical injury to the area.

Regeneration ointments contain antibiotic elements and substances that stimulate the formation of new cells: Syntomycin; Solcoseryl ointment; Actovegin. Multicomponent preparations with anti-inflammatory and regenerative effects: Vishnevsky's balsamic liniment; Oxyzone; Levomethoxide, Oxycyclosol. The products have optimal stimulating properties for regeneration, improve blood circulation in the affected area and prevent the development of pathogenic microflora.

A folk local method of rehabilitation and stimulation of wound healing at home includes the use of herbal tinctures (chamomile, elecampane, St. John's wort, wormwood), propolis, honey, aloe leaves, sea buckthorn oil, mumiyo. These methods are effective for minor wounds without the burden of purulent exudate. Extensive purulent wounds are best treated with the help of professional medicine.

Conclusion

The cleansing period of dead epithelium and exudate is extremely important for normal regenerative processes and the prevention of secondary suppuration. The main criteria for the dynamics of general clinical values ​​are determined by the results of laboratory tests, cytological and bacteriological analyses.

Residual pathogenic microflora should not remain in the affected area; it should be remembered that any infection can lead to extremely negative consequences, ranging from a long rehabilitation period to amputation of a body part and death.

To prevent suppuration, fresh wounds should be thoroughly washed under running water and treated with an antiseptic. The wound should be bandaged with a sterile bandage, this will protect against direct contact with contaminated microflora. If there are any signs of suppuration, it is recommended to consult a doctor. Timely methods of treating purulent wounds will prevent the development of the inflammatory process.



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