What antibiotics to take for a purulent wound. Purulent wound - treatment

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Wound suppuration occurs under the influence of various bacteria. During their life, they release dangerous toxins that are carried through the bloodstream and lead to the development of serious complications.

That is why in this situation it is necessary to carry out antibacterial therapy. It can be either local or general. Prescriptions are made by the attending surgeon after examining and treating the wound.

Rules for the treatment and treatment of purulent wounds

If there is a purulent wound, complex treatment is carried out, which includes:

  • Surgical treatment of the wound, daily dressings;
  • Antibacterial therapy;
  • Anti-inflammatory treatment;
  • Vitamin therapy;
  • Symptomatic treatment.

A distinction is made between primary and secondary wound treatment. PHO (), that is, treatment is carried out for the first time after the development of a purulent process, possibly at the pre-hospital stage. VHO (secondary treatment) is carried out by a surgeon under sterile conditions.

To treat a wound, it is necessary to prepare sterile instruments and dressings: sterile gloves, scissors, scalpel, tweezers, drainage material, bandages and gauze wipes.

The procedure for treating a festering injury:

Drainage is a way to remove purulent contents from wounds. There are active and passive drainage.

Passive drainage is made from tubes, gloves and gauze turundas. For example, a bandage with a hypertonic sodium chloride solution will help improve the outflow of fluid through these devices. Active drainage can be flow-wash, aspiration, or a combined method.

Treatment of a purulent wound is carried out 1 or 2 times a day under local anesthesia. Extra dressing is carried out if the bandage is wet or pain occurs/increases at the site of injury.

Antibiotics in the form of ointments and solutions

Local antibacterial treatment of a festering wound is carried out by such groups of drugs as semisynthetic penicillins, tetracyclines, cephalosporins.

In the first phase (inflammation), treatment is carried out using solutions with an antibiotic; in the second phase (regeneration), it is advisable to use ointments.

Antibiotics for wound suppuration are prescribed only by a doctor, taking into account the sensitivity of microorganisms to it.

To do this, the discharge is analyzed for sensitivity to antibiotics. If the pathological process requires immediate treatment, then broad-spectrum drugs are prescribed. They affect a large group of bacteria.

Ointments and solutions used in the treatment of purulent wounds:

  • Baneocin ointment. This is a combination drug (Bacitracin + Neomycin) that has a bactericidal effect (leads to the death of bacteria). It must be applied to a surface cleaned of purulent contents. Contraindications to the use of this ointment are:
    • Hypersensitivity to the components of the drug;
    • Extensive wounds, since large amounts of active substances contribute to hearing loss;
    • Simultaneous use of aminoglycoside antibiotics;
    • Pregnant and lactating women need to consult a specialist before use;

Related articles


For purulent wounds, they not only have a strong antibacterial and anti-inflammatory effect, but also have fast wound healing properties.

Antibiotic for purulent wounds in tablets

Systemic antibacterial drugs are usually used in the form of tablets, capsules and injections. Such drugs are much more effective than local forms, but their use must be justified. Otherwise, microorganisms become accustomed to the drugs.

Indications for the use of systemic antibiotics:

  • Extensive, deep injury;
  • Spread of infection through the bloodstream throughout the body (sepsis);
  • Development of general fever;
  • The presence of complications of the purulent process.

Antibiotics for purulent wounds are divided into several groups:


It must be remembered that all systemic antibiotics can have a negative effect on the digestive and urinary organs.

Auxiliary drugs for treatment

During the treatment process, several groups of drugs are used, which provide an integrated approach.

A purulent wound is manifested by several pathological symptom complexes, the elimination of which requires the use of the following medications:

  • Antiseptics. They are necessary for treating the wound and its edges. The following are widely used in surgery:
    • Ethanol;
    • Dyes: Fukortsin, ;
    • Oxidizing agents: , ;
  • Painkillers especially necessary in the first days of suppuration: Analgin, Baralgin;
  • Anti-inflammatory drugs help reduce the area of ​​inflammation and swelling. Nonsteroidal anti-inflammatory drugs are most often used, since they also have an analgesic effect: Ketoprofen, Arthrotec, Ibuprofen, Diclofenac and others;
  • Vitamins prescribed to strengthen the immune system and improve injury healing.

Complications of purulent wounds

If treatment of a festering wound is not carried out in full or is completely absent, then there is a high probability of complications developing.

Typical complications of untreated suppuration:


Antibiotics for purulent wounds

Our body is a complex biological system with a huge potential for self-healing, including wound healing. In this regard, the main task in the treatment of purulent wounds is to use medications depending on the stage of the process.

Stages of healing of a purulent wound

1. Wet wound. This stage begins immediately after damage to the soft tissues of the body. Doctors call this stage the “exudation stage.” First, blood begins to flow from the wound, then a light liquid (serous exudate). If an infection occurs at this stage, then pus appears.

The main help to the body at this stage is to help the wound cleanse itself. To do this, frequent dressings are done and the wound surface is cleaned of dead (narcotized) tissue. In the case of wound suppuration, they strive to ensure that the pus flows out and does not accumulate inside.

Antibiotics and other agents at this stage are used in the form of various solutions and gels, as well as ointments on a water-soluble basis (for example, levomekol).

2. Dry wound(stage of proliferation, regeneration). Gradually, the flow from the wound stops, and delicate pinkish-red granulations, consisting mainly of newly formed small vessels, begin to form on the inner surface. These granulations are very vulnerable, so at this stage the wound may periodically “bleed”. At this stage, the wound tissue being repaired cannot retain sufficient moisture, so the wound surface may dry out and crack. To prevent this from happening, they try to use fat-based medications (ointments, creams). They soften the tissue and retain the necessary moisture inside the wound.

3. "Closing the wound" ( epithelialization stage). In fact, this is the formation of new skin or a scar at the site of injury. Depending on the size of the defect, it can last from several weeks to 2 years. At this stage, those drugs are used that will speed up the healing process.

Antibiotics and purulent wound

Since in the first days the causative agent of infection in the wound is practically unknown, they try to prescribe broad-spectrum antibiotics. Among the microorganisms that are most often “to blame” for the formation of pus are the following: Klebsiella, Staphylococcus aureus, Pseudomonas aeruginosa and Escherichia coli. In this regard, treatment with antibiotics begins with the use of drugs to which these microorganisms are sensitive: penicillins (oxacillin, dicloxacillin, carbenicillin, ampicillin, etc.), cephalosporins (cephalexin, cefuroxime, cefazolin, cefepime, ceftazidime, etc.) , aminoglycosides (kanamycin, doxycycline, gentamicin, amikacin) and tetracyclines (tetracycline, metacycline). Antibiotics for wounds are used not only when the process is purulent.

First stage. Previously, during the flow of pus, they tried to use antibiotics in the form of powders, but now they are trying to abandon this practice, because the required concentration of antibiotic is not created in the wound. Most often used: irrigation with antiseptic solutions followed by application of an antibiotic in the form of a gel to the wound surface. Antibacterial drugs are also prescribed orally or by injection, and sometimes the tissues surrounding the wound are injected with an antibiotic solution.

At the second stage ointments and creams with the appropriate antibiotic are used. If the wound begins to fester again, then they again return to dosage forms in the form of a gel.

Since drug resistance of microorganisms can develop as a result of improper use of antibiotics, it is better not to self-medicate from the very beginning, but to consult a specialist.

Ointment for purulent wounds

Treatment of purulent wounds is a very important matter, since the presence of pus in the wound is a consequence of infection, which means that the wound may contain closed cavities, dead tissue that are deprived of blood supply, and it is even possible that there may be foreign bodies in such a wound that got there during injury.

The core of the boil with suppuration

Severe pain, redness of the skin with a purulent area in the middle is not a nightmare, but just a boil. Although for some it becomes a nightmare, because in addition to the ugly appearance, such a formation causes many more unpleasant moments. What is it and what underlies inflammation?

The seam is festering

If a postoperative suture festers, this indicates one thing - there is an infection in the wound, and not an unspecified one, but a bacterial one. This means that you need to treat it with antibiotics, and not yourself, but with the help of the surgeon who performed the operation.

Factors predisposing to wound infection:

1) The operation was performed on the organs of the genitourinary system, intestines, oropharynx, and on the gallbladder, with the integrity of these organs being violated (that is, their non-sterile contents got into the wound);

How to remove pus from a wound

Of all the types of inflammation that occurs in the human body, purulent inflammation is rightfully considered one of the most complex and potentially dangerous to both health and life. The severity of any purulent process depends primarily on factors such as the location of the abscess, its prevalence, the state of the human body, its immunity, age, the presence of concomitant diseases and much more.

Article outline:

If the wound becomes inflamed, it means that the process of cell death has begun in it, as a result of which pus begins to accumulate. Such damage is called purulent, and the main symptoms of a source of inflammation hidden in the wound cavity are swelling, redness and pain.

If treatment is not started quickly, the inflamed wound threatens first with necrosis (death) of tissue, and then with gangrene. It is not worth mentioning how this irreversible process of cell death usually ends.

After all, today pharmacology has stepped far forward, and modern drugs can quickly stop suppuration and prevent the development of complications from purulent wounds. It all depends on how timely the treatment is and whether the medications are selected correctly.


Why is a festering wound dangerous?

Most often, a purulent wound occurs after external damage to the skin by piercing, cutting or pointed objects.

Less commonly, wounds arise on their own in the human body, in the form of internal ulcers that try to break out (furunculosis, lymphadenitis, etc.).

Neglect of primary wound treatment, concomitant chronic diseases and low immunity - all this can provoke inflammation of the damaged tissue area.

If, in addition, the wound treatment was not carried out efficiently and in a timely manner, then the affected area becomes infected with bacteria:

The inflamed area can cause a secondary infection when bacteria affect other organs.

First of all, the circulatory system comes under attack, and a global purulent process can lead to sepsis (blood poisoning). Bones can also suffer from a pathological process in the tissues, since the main complication of wounds of the extremities is osteomyelitis (a purulent process in the bones and bone marrow).

Immediate treatment is the key to quickly stopping the development of bacteria inside the purulent lesion.

What to do if suppuration appears in the wound?

A wound in which the process of tissue necrosis has already begun cannot be treated with antiseptics alone. Even the highest quality dressing and treatment of purulent wounds with special solutions does not guarantee that complications will not occur.

As well as vice versa: taking only antibacterial agents internally and ignoring the rules of wound dressing, you should not expect a quick cure. In any case, a purulent infection must be treated through an integrated approach.

The surgical process of repairing damaged tissue includes the following measures:

The accumulation of exudate in the wound is characteristic of inflammation. Elements of dead cells and accumulation of bacteria are pus. Before treating inflammation with medications, you need to clear the wound of exudate. To prevent pus from accumulating in the cavity again, frequent rinsing or drainage is required.

Complex treatment must necessarily include antibacterial therapy. You can use both external ointments and antibiotics taken orally in various ways (orally, intramuscularly, intravenously).

Antibiotic ointments are aimed at preventing further growth of bacteria inside the wound and stopping the inflammatory process. External preparations should be used in the early stages of treatment of purulent wounds. Since at the very beginning of inflammation it is impossible to determine the bacterial flora that is the source of the purulent process, broad-spectrum ointments are used.

  • Penicillin;
  • Tetracycline;
  • Cephalosporins;
  • Synthetic antibiotics.

For serious wounds and the risk of complications, it is necessary to combine external antibiotic therapy with internal one.

The wound festers, hurts, severe swelling has appeared, how to treat?

Depending on the patient’s condition, antibacterial therapy is also prescribed. However, it is necessary to understand that antibiotics cannot completely replace the surgeon. You need to know when and how to treat the wound while the suppuration is not severe.

At the initial stage, ointments and creams with antibiotics are used to treat a purulent wound. Antibiotics for oral use are used in the form of tablets or injections for the purpose of prevention in the early stages of inflammation, and for therapeutic purposes when complications threaten. However, it is worth understanding that the capabilities of antibiotics are limited.

Many cases of medical practice with a sad outcome prove that the most important thing in the treatment of purulent inflammation is not to miss that important moment when you cannot do without the surgeon’s hand.

Patients often overestimate the capabilities of antibiotics and seek help late, not realizing that purulent lesions need to be treated comprehensively.

And only in the early stages, without the accumulation of a large amount of exudate, will the wound heal without the participation of a surgeon.

In addition, in order to successfully treat a patient with a purulent wound, you need to understand what pathogen caused the inflammation.

There are often cases when patients independently use outdated varieties of “first generation” antibiotics in the fight against new strains of bacteria. At the same time, there is no question of the adequacy of treatment, and ointments or tablets that do not bring the desired effect will also harm the patient.

Among other things, an antibiotic does not heal a wound, it only kills the microbes that have settled in it. If the wound is severely inflamed, and tissue necrosis has caused suppuration, then it is difficult to create the prerequisites for wound healing with ointment alone. But it all depends on the patient’s condition, his age, and tissue tone. Therefore, treatment must be prescribed individually in each individual case.

Are all antibiotics effective in treating purulent wounds?

Among all the causes of inflammation and suppuration in a wound, the main place is occupied by staphylococcus. And it is this type of bacteria that most often turns out to be the most resistant to “first generation” antibiotics from the penicillin, streptomycin and tetracycline groups.

Other pathogens include gram-negative bacteria:

  • Proteus;
  • Pseudomonas aeruginosa.

In recent years, these microorganisms have shown high resistance to benzylpenicillin, streptomycin, chloramphenicol, and “first generation” tetracycline. In this case, even antibiotic dependence is often established in these types of bacteria. This happens because antibiotics cause microorganisms to mutate.

Opportunistic microorganisms, which include anaerobes (can develop in an airless space), can also become a causative agent of inflammation and cause suppuration in the wound. However, this species shows high resistance to a large number of antibiotics.

Due to these facts, it is worth choosing antibiotics of the second and subsequent generations for the treatment of purulent wounds. At the same time, combination drugs acting on various types of pathogens have a special effect. This is especially important when treating suppurations without determining the resistance of the flora.

What antibiotic will help cure a festering wound?

When prescribing antibacterial therapy, it is worth considering not only antibiotic resistance. Each medicine has its own pros and cons in treatment. We'll talk about the possibilities of different types further.

The natural antibiotic benzylpenicillin has already lost its activity against many bacteria. In the modern world, semi-synthetic variants are used, which show a wide spectrum of action on various microorganisms.

  • Oxacillin (Ampiox);
  • Ampicillin;
  • Carbenicillin (Securopen) and others.

These types of antibiotics have suppressive activity against benzylpenicillin-resistant strains of staphylococci. If you are allergic to penicillin or if resistance is detected, as well as in the presence of other pathogenic flora, other antibiotics are indicated for use: cephalosporin, fusidine, erythromycin.

Synthetic drugs of the first and second generation based on cephalosporins - cefazolin, cephalexin, cefuroxime - are effective against purulent infections caused by staphylococci. They are used to destroy streptococcal and pneumococcal flora, as well as for lesions by enterobacteria.

It is worth considering that microorganisms quickly develop resistance to these drugs, which is why improved types of synthetic antibiotics appear on the pharmaceutical market.

Today, the latest drugs are actively used - “third and fourth generation” cephalosporins:

  • panceph,
  • ceftazidime,
  • ceftibuten,
  • cefepime.

These drugs can be used as a systemic agent in the treatment of purulent wounds caused by all possible microorganisms, including Staphylococcus aureus. It only has no effect on Pseudomonas aeruginosa, viruses, Trichomonas and chlamydia.

The first antibiotics of this group are streptomycin and its varieties: kanamycin, neomycin. However, due to uncontrolled use, their effectiveness against staphylococci, E. coli, Proteus, Klebsiella and Shigella has significantly decreased due to the resistance developed by these microorganisms.

Gentamicin belongs to the second generation aminoglycosides and today is widely used in the treatment of various diseases, including purulent ones, when it is impossible to use penicillins due to allergies or flora resistance.

Third generation drugs are less toxic than streptomycin and gentamicin. They are effective against staphylococci, enterococci, streptococci and other anaerobic bacteria.

These are drugs such as:

  • Tobramycin;
  • Sizomycin.

Since aminoglycosides are well absorbed through the skin, they are most often used as external ointments. Systemic antibiotics are used for complications of purulent wounds (sepsis, osteomyelitis). However, aminoglycosides are ineffective in chronic infections, since they act on bacteria only during the period when they are in the reproduction stage.

Preparations of this group of antibiotics can rightly be called “skin”, since they are effective in combating various bacterial skin lesions, including purulent wounds.

Semi-synthetic tetracyclines are more effective in combating various anaerobic and aerobic microorganisms. This is metacycline, doxycycline.

Erythromycin helps treat patients in cases where the bacterial flora is resistant to other antibiotics (penicillins, gentamicin, tetracycline). Its effectiveness increases when combined with tetracyclines.

However, it should be noted that when using erythromycin, patients quickly develop flora resistance to this antibiotic. Therefore, it is used only in cases where other antibiotics are powerless.

This antibacterial substance copes quite effectively with purulent infection. Since this type of antibiotic penetrates very well and deeply into tissues, it is used mainly in the form of an ointment.

Fuzidin shows high effectiveness both against inflammation caused by the penetration of staphylococci into tissues and other pathogenic microbes. It inhibits the growth of streptococci, corynobacteria, bacteroides, meningococci.

Ointments for external use with antibiotics

Let's consider the most popular ointments, which contain an antibiotic that can suppress the growth of a wide variety of microorganisms. First of all, the most effective of them are ointments with a combined composition. All these drugs in the first stages of treatment give the most positive results, since they act on various types of microorganisms, and some even on viruses.

Baneocin

Combined antimicrobial drug for external treatment of wounds, burns, and infectious skin diseases. The ointment contains two antibiotics belonging to different groups:

  • Neomycin sulfate (aminoglycoside);
  • Bacitracin (polypeptide antibiotic).

The ointment is effective against a wide range of microorganisms. It also suppresses fusobacteria and actinomycetes. The combined composition of the drug, due to the synergy of two antibiotics, also works well against staphylococci.

Baneocin is indicated for use in various purulent skin diseases, including deep tissue lesions. Widely used for cuts, abrasions, secondary eczema and dermatitis, boils and folliculitis.

Flaws: The drug is toxic. It should not be used on large areas of skin, as well as in patients with impaired liver and kidney function. Cannot be combined with other antibiotics included in the aminoglycoside group. It is worth noting that some bacteria have now already developed resistance to neomycin.

The drug can be classified as a combined antibacterial medication. The ointment contains a synthetic antibiotic - chloramphenicol (levomecitin), and a substance that increases tissue regeneration - methyluracil.

The ointment shows high effectiveness against many bacteria (spirochetes, rickettsia, chlamydia), microorganisms of any type.

Positive characteristics: The main advantage of Levomekol is that it acts even when there is pus in the wound. Unlike, for example, lincomycin ointment, the wound does not have to be cleaned of pus and necrotic tissue removed before using Levomekol.

One can add to the positive properties of the ointment that it accelerates regeneration and relieves swelling. All this makes Levomekol one of the most effective synthetic drugs for combating various inflammations. The ointment is effective for the following skin lesions:

  • Inflamed wounds with suppuration;
  • Burns;
  • Purulent-inflammatory dermatitis;
  • Ulcers;
  • Boils.

The ointment can be used under sterile dressings, and can also be injected directly into wound cavities through a syringe.

This ointment contains a natural antibiotic, gentamicin, which is included in the “other antibiotics” subgroup, as well as a vasoconstrictor. The antimicrobial activity of the drug is aimed at gram-positive microorganisms and some viruses.

The ointment is widely used for pyoderma, wounds with a large affected area, various pustular inflammations of the skin, and infected eczema. The drug is practically non-toxic, therefore it is successfully used in the treatment of rhinitis and inflammation of the nasal mucosa. Effective for trophic ulcers and bedsores.

The ointment is approved for use by both adults and infants. It can be used to treat nipples of a nursing woman, wounds and inflammation on the skin of babies.

Fusiderm (analogous to Fucicort)

An antibacterial drug, the active substance of which belongs to antibiotics of natural origin – fusidic acid (group “other antibiotics”). Fusiderm ointment is prescribed when staphylococcus is resistant to other antibacterial drugs. It is effective for the following wound and inflammatory lesions of the skin with infection:

  • Burns and wounds;
  • All types of eczema (including infected and secondary);
  • Secondary dermatitis;
  • Psoriasis;
  • Acne.

The ointment penetrates into the deep subcutaneous layers and spreads throughout the tissues. Main feature: the effect of the product after application lasts up to 8-10 hours.

The specificity of the ointment is that the therapeutic effect depends on the amount of the product applied. Fusiderm can be used both as a drug to suppress the growth of bacteria, and as a means for the total destruction of microorganisms. The result of treatment depends on the dosage.

Damage to the skin of various origins can begin to tear, become inflamed and fester. In such cases, broad-spectrum antibiotics are prescribed for wounds. As a rule, wounds treated in a timely manner heal safely without leaving any consequences. But sometimes the healing process does not go as smoothly as desired. Antibiotic medications will prevent negative consequences and help the wound heal quickly.

Complications of various types in wounds can cause the development of sepsis and other troubles. To prevent this from happening, the doctor, after a visual examination, prescribes an appropriate antibiotic for purulent wounds.

Antibacterial drugs do not have a very beneficial effect on the body and have many side effects. Therefore, their appointment occurs only in extreme cases. An antibiotic is prescribed in the following situations:

  • punctures, cuts and lacerations caused by the penetration of any object, as well as animal bites. In such cases, there is a high probability that an infection has entered the wound and can cause complications;
  • with a festering wound;
  • after primary surgical treatment and suturing;
  • before and after surgery to prevent infection of an open wound;
  • burns of various etiologies;
  • trophic ulcers of the extremities;
  • cracks in the leg begin to fester;
  • erosion of various origins.

Antibiotics for wound suppuration accelerate the process of skin regeneration and promote rapid healing.

What antibiotic helps with purulent wounds

Treatment of purulent wounds is carried out comprehensively and includes surgical treatment, the use of anti-inflammatory and antibacterial drugs, as well as taking vitamins.

Medicines with antibiotics help prevent the spread of infection into the blood and further suppuration of the wound.

Antibiotic preparations are available in the form of tablets, injections, ointments and topical solutions. Having previously taken an analysis for the causative agent of the infection, the doctor determines a list of antibiotics for purulent wounds.


Local antibiotics are divided into the following groups of drugs:

  • penicillins;
  • tetracyclines;
  • cephalosporins.

These drugs do not penetrate the blood, affecting only the superficial layers of the wound. Long-term use can cause the body to become accustomed and harmful microorganisms to become resistant to the antibiotic composition. Then it is recommended to change the drug.

We will consider below which antibiotic is taken for wounds and which is applied externally.

Use of penicillin

Penicillins are the most common antibiotic group of drugs intended for the treatment of infectious diseases, in particular bacteria-infected and festering wounds. The drug is also prescribed for prophylaxis after surgery.

Penicillin can be purchased in pharmacies in the form of tablets or injections. The mechanism of action of the drug is to damage the cell membrane of pathogenic organisms. Thus, unprotected bacteria are destroyed under the influence of the external environment.

The antibacterial effect of penicillin is most quickly achieved when administered intramuscularly or intravenously. With this method, the drug quickly penetrates the blood, spreads and performs treatment. Penicillin injections are given every 4 hours.


The daily dose when taking tablets is prescribed by the doctor individually for each case. For bacterial infections, 250-500 mg is prescribed every 6-8 hours. Take the tablets half an hour before meals or 2 hours after.

Antibiotics for wounds of the penicillin group are natural, and therefore should not cause adverse reactions. But sometimes complications occur in the form of redness of the skin, itching, headaches, vomiting, and rhinitis.

Cephalosporins

Cephalosporins include many antibiotics, the main feature of which is low toxicity and high activity against most pathogenic bacteria. The drugs taken have a bactericidal effect. Unlike penicillins, bacterial resistance to this group develops much less frequently.


In medicine, there are four generations of antibacterial drugs of the cephalosporin group, but to treat infected wounds it is worth taking antibiotics of the third group: cefoperazone, cefotaxime, ceftriaxone, ceftazidime. In severe cases of infectious processes, more modern fourth-generation antibiotics are prescribed: cefepime, cefpirone.

Aminoglycosides

Aminoglycosides are natural or semi-synthetic antibiotics that have an antimicrobial effect and destroy pathogenic microorganisms that are sensitive to them.

There are several classifications of antibiotics of the aminoglycoside group, differing:

  • according to the spectrum of antimicrobial activity;
  • on the characteristics of the development of addiction with long-term use of the drug.

For the treatment of purulent infectious diseases, a 4th generation drug is used - isepamycin. An antibiotic is prescribed for wounds on the leg or arm.

Tetracycline

The drug of the tetracycline group is used for infections of the skin and soft tissues. The antibiotic has a wide spectrum of action and has a pronounced bacteriostatic effect. The product is available in the form of external ointment, tablets and eye ointment. Three percent Tetracycline ointment is prescribed for the treatment of infectious diseases of soft tissues that can fester. Contraindications to the use of the ointment include individual intolerance to the components of the drug and children under 11 years of age.


The antibiotic "Erythromycin" is the most popular drug for the treatment of infectious diseases of bacterial etiology. To treat festering lesions, the external preparation is applied to the affected areas 2-3 times a day. During the treatment of burns, the medication is used 3 times a week. The duration of treatment is determined by the doctor, usually 7-10 days.

Fuzidin

Fusidine sodium is an antibacterial drug used to treat soft tissue infections, infected wounds and burns. Available in tablet form. After administration, the drug is well absorbed from the gastrointestinal tract, reaching high concentrations in the blood. Take Fuzidin tablets after meals. The daily dose for an adult is 1.5 grams. Antibiotic therapy lasts from 7 to 14 days. Contraindications for use are intolerance to any of the components.

Ointments containing antibiotics

The choice of drug depends on the level of damage: wounds on the skin, damage to the upper layers of subcutaneous tissue, deep penetration. Superficial lesions can be cured with external remedies, in which there is no need to take an antibiotic.


  1. Gentamicin sulfate - when applied to the wound site, it is quickly absorbed and has a wound-healing effect.
  2. Levomekol - accelerates the regeneration process and has dehydrating effects.
  3. Lincomycin ointment - has antimicrobial and anti-inflammatory effects.
  4. Bactroban is an antimicrobial agent.

Ointments for wound healing include “Rescuer”, “Actovegin”. For purulent wounds, Levosin is used.

The question of which antibiotics to take for wounds is decided taking into account the location of the damage, the scale of the wound and the individual characteristics of the patient, therefore, before taking medications, a doctor’s consultation is necessary.

Mechanical trauma to the skin on the leg can lead to the formation of wounds. Most often, they are not considered dangerous and can be treated at home. But even a small cut can get bacteria that can cause inflammation. This occurs due to poor personal hygiene, decreased immunity, and the progression of chronic diseases. If the human body’s defense system is weakened, there is a high probability of pus forming in the injury cavity. What is a purulent wound on the leg, and how to treat it?

A purulent wound on the leg means damage to an area of ​​the skin into which bacteria have entered and infection has begun. Most often, inflammation becomes possible due to staphylococci and streptococci. Penetrating into a cut, they begin to form their own microflora, which is what causes suppuration. As a result, dead skin particles accumulate in the wound and bacteria actively multiply.

Purulent inflammations on the leg are characterized by the following symptoms:

  1. There is swelling and redness of the skin around the wound.
  2. The site of injury is painful and hot to the touch.
  3. There is a throbbing pain inside the cut.
  4. If treatment is not undertaken, intoxication of the body begins to develop. A person develops fever and weakness.

Leaving purulent wounds on the leg without treatment is very dangerous. This can lead to serious consequences for human health, such as abscess and sepsis.

The most severe and unpleasant type of suppuration is a wound on the toes. Under the influence of bacteria, the finger swells, and a blister filled with pus appears on the back side of the lesion. If the abscess continues to grow, it is advisable to consult a doctor for surgical help.

Purulent inflammations under the nail and on the toes require a special approach to treatment. If medical attention is not promptly provided, there may be a risk of finger amputation.

How to treat such inflammation should only be determined by a specialist.

Causes of suppuration

The inflammatory process develops as a result of infection entering the damaged area. The risk of infection increases in the summer. This is especially true for a purulent wound on the leg.

There are several causes of infections:

  • lack of personal hygiene;
  • weakened human immunity;
  • work in unfavorable conditions, in dirt, dust;
  • poor nutrition, lack of vitamins;
  • disturbance of metabolic processes in the body.

Infection may occur after surgery. In this regard, planned operations are never scheduled for the summer period. If the operations are emergency, it is necessary to carefully treat the injury site.

There is a type of secondary purulent wounds on the leg. They refer to boils and abscesses. As a rule, the occurrence of such inflammation is directly affected by human health. Boils appear in people with reduced immunity and diabetes mellitus. Purulent wounds on the legs develop faster in older patients. Secondary purulent inflammations are treated only with surgery.

Treatment tactics

Treating a purulent wound on the leg at home is very dangerous. As a rule, after receiving an abrasion or scratch, people rarely go to the doctor. But even a small cut can cause major complications if not treated correctly.

How to cure a purulent wound on the leg? Treatment should combine a combination of drug therapy and lifestyle changes. Much attention should be paid to the patient’s nutrition, since the development of suppuration can be provoked by a lack of essential nutrients in the body.

Treatment of a purulent wound on the leg should be carried out with the aim of:

  1. Removing purulent masses from the wound.
  2. Reduce swelling and relieve inflammation.
  3. Fighting germs.

To treat purulent wounds on the legs, agents are most often used that improve the nutrition of damaged tissues, normalize blood circulation, and restore metabolic processes in the body. For this purpose, the following enzymes are used:

  • chymopsin;
  • chymotrypsin;
  • Terrilitin.

In severe cases, antibacterial drugs are prescribed. At the initial stage of inflammation, broad-spectrum antibiotics are used. After bacterial culture, medications can be replaced. They are prescribed in the form of tablets, ointments, and injections.

To treat wounds on the leg with a large accumulation of pus, bandages with Furacilin solution are used, and the affected area is washed with antiseptic agents.

If a tumor with pus on the leg does not open on its own for a long time, it is necessary to urgently contact a specialist. The surgeon will cut the pus, clean the wound and place a drain in the cavity, which will further facilitate the release of pus. In some cases, a swab soaked in antibiotics is inserted into the wound cavity. In addition, it is necessary to take a course of vitamins and take measures to improve immunity.

If your toe is festering, you can relieve inflammation with potassium permanganate baths. The solution should be weak, light pink in color. After the procedure, a bandage with ointment is applied to the treated finger. Your doctor will recommend how to treat wounds on your legs. Most often, Levomekol ointment is applied to the damaged area.

If the foot is affected by inflammation caused by fungi, antifungal drugs are prescribed.

Treatment of purulent wounds at home

What to do if the wound has already been opened by a doctor and a bandage has been applied? You can treat leg wounds at home yourself. Daily disinfection is necessary for rapid healing and to prevent the spread of infection. Treatment of a limb with a purulent wound should be carried out 1–2 times a day. Please note that you can make dressings yourself only in mild cases of the disease.

To carry out the procedure, the following conditions must be met:

  1. Mandatory disinfection of hands and tools. Most often this is done with alcohol.
  2. The old bandage must be carefully removed; if it is strongly stuck to the wound, the bandage is moistened with hydrogen peroxide.
  3. Remains of pus should be removed from the cavity, the edges should be treated with an antiseptic, sometimes they are lubricated with iodine or brilliant green.
  4. The inside is treated with a drug or a napkin soaked in the drug is placed. If the damage is very deep, a rubber drainage is inserted inside to remove pus.
  5. The wound on the leg is covered with several layers of bandage and carefully secured. It is imperative to ensure that there is no air access to the affected area. This may lead to the development of an anaerobic infection.

If the injury is very severe, treatments must be done at least four times a day. In this case, you need to leave the wound in the air for 20 minutes during each treatment.

Folk remedies in the treatment of purulent wounds

Use in combination with traditional drugs, folk methods for the treatment of purulent wounds on the legs promotes rapid healing. This is due to the fact that a number of bacteria have become insensitive to antibiotics over time. To carry out treatment with folk remedies at home, a number of requirements must be met:

  1. You can treat yourself only simple suppurations on the leg, without signs of intoxication.
  2. What to do and how should be recommended by the attending physician. The same applies to folk remedies.

Failure to comply with these conditions can cause harm and aggravate the situation.

  • Calendula tincture, aloe juice, plantain or burdock are often used to treat wounds on the leg. Tea tree or sea buckthorn oil can be used effectively.
  • Honey is used as a component for ointments.
  • Aqueous solutions of eucalyptus and calendula are used to wash the wound.
  • Purulent inflammation on the leg can be cured with onions boiled in milk. It is pushed aside and applied to the suppuration, then bandaged tightly. Every five hours it is necessary to change the bandages with gruel.
  • Castor oil promotes the rapid maturation of a purulent bladder. It is preheated in a water bath, soaked in a cotton swab and tied to the site of suppuration.
  • The most widely used remedy is the use of aloe. The pulp is applied to the damaged area.

If suppuration occurs in a wound or cut on the leg, you should immediately consult a doctor. Timely treatment will prevent the development of complications.