Ointments for Purulent Wounds

Wounds, including those with purulent contents, are often treated with antiseptics with anti-inflammatory and disinfectant properties. However, not everyone knows that there is also an ointment for purulent wounds - usually its effect is longer, which is important for the quality healing of the wound surface. Modern ointments have a bactericidal action and a minimal amount of adverse events, which makes it possible to apply them practically without restrictions.

[1], [2], [3], [4]

Indications of the ointments for purulent wounds

Purulent wounds can be open and closed, serous-infiltrative and purulent-necrotic. The purulent process can be of a gangrenous nature, or may proceed according to the type of abscess or phlegmon.

The most frequent purulent skin lesions, in which ointments can be used, are:

• furuncles, both single and multiple, forming in the form of furunculosis;
• carbuncles, accompanied by the release of purulent-necrotic masses;
• abscesses - focal purulent inflammatory processes in tissues that develop with the formation of a pyogenic capsule;
• phlegmon - inflammatory purulent processes inside fatty tissue;
• other non-broad purulent processes of surface tissues.

For the treatment of these wounds and diseases, an ointment is chosen which has the ability to pull the purulent masses out and stop the inflammatory process without interfering with the trophic and breathing of the skin layers.

[5], [6], [7], [8]

Release form

Such a form of preparation, as an ointment, usually has a soft structure and promotes the formation of a smooth, continuous and resistant protective film on the wound surface. In the case of purulent wounds, the film should not prevent oxygen from entering the wound.

Ointment is more stable when applied than aseptic fluid, since even with a strong temperature increase it turns into a thick suspension without signs of pronounced fluidity. In addition, the ointment for purulent wounds has, in addition to medicinal, also a resorptive effect. Simultaneously, a thick form allows to achieve a high concentration of therapeutic components on the skin surface and in the depths of tissues.

Use an ointment for purulent wounds simply and safely, unlike injections and internal medications. At the same time, the external thick agent is more economical when applied.

Of course, not all ointments can be used to treat purulent wounds, since most of these preparations create a significant "greenhouse" effect, which prevents healing of damage. But there are special external means, intended specifically for the corresponding skin pathologies.

Names of ointments for purulent wounds

Ointments for purulent wounds should meet the following requirements:

• to destroy the infection within the wound;
• contribute to the purification of the wound from pus and necrotic tissue;
• inhibit the development of the inflammatory process;
• do not interfere with the free release of pus;
• create a barrier to prevent additional external infection.

At the first stage of healing (usually on the third day) it is possible to use ointments on a water basis, such as Levomecol, Dioxin 5%, Sulfamecol, etc.

To the cleared wound for the restoration of damaged tissues, drugs that suppress the growth of bacteria and activate regeneration processes are used. To accelerate the formation of qualitative granulation, it is possible to apply ointments with antibiotics, such as Gentamicin, Tetracycline, etc.

There are also universal combined ointments for purulent wounds, which tend to stimulate healing and eliminate the formation of pus. Among such preparations, the most popular are Vishnevsky ointment, Levomethoxin and Oxycyclozole. These medications are especially often used for bandages to stimulate the formation of scar tissue.

Ointment for healing purulent wounds
	Levomekol ointment	Ichthyol ointment
Pharmacodynamics Pharmacokinetics	Combined ointment for purulent wounds with antibiotic chloramphenicol and immunostimulant methyluracil.	Antiseptic with ichthyol, which has the property of an analgesic, antiseptic and anti-inflammatory agent. Does not enter the systemic circulation.
Use of ointments for purulent wounds during pregnancy	It can be used on small surfaces of the skin and for a short time.	It is allowed to use pregnant and nursing patients.
Contraindications for use	Probability of an allergic response of the body.	Probability of allergy, children under 12 years.
Side effects of ointments for purulent wounds	Allergy.	Rarely - allergies.
Dosing and Administration	Ointment is blotted with sterile gauze wipes and fills the wound with them. The recommended duration of therapy is 4 days.	Apply without rubbing, under the bandage, up to 3 times a day.
Overdose ointment for purulent wounds	The probability is minimal.	It is considered impossible.
Interactions with other drugs	Not observed.	Simultaneous application of several external agents to one area of skin can have unpredictable effects.
Storage conditions and shelf life	Save up to 3.5 years in normal conditions.	Keep in a darkened place for up to 5 years.

Ointment with antibiotics for purulent wounds
	Gentamicin ointment	Lincomycin
Pharmacodynamics Pharmacokinetics	Ointment with antibiotic of a wide spectrum of activity. Kinetic properties have not been studied.	Antibiotic of the lincosamide group.
Use of ointments for purulent wounds during pregnancy	Contraindicated.	Contraindicated.
Contraindications for use	Allergy, pregnancy.	Pregnancy, breast feeding, allergic sensitivity.
Side effects of ointments for purulent wounds	Allergic manifestations.	Allergic manifestations, candidiasis.
Dosing and Administration	Apply to a pre-cleaned wound up to 3 times a day.	Distribute a thin layer on the affected area of skin. The duration of the course is determined by the doctor.
Overdose ointment for purulent wounds	Information is not provided.	It was not observed.
Interactions with other drugs	It is not recommended simultaneous use with antibiotics with ototoxic and nephrotoxic action.	It is undesirable to use with other antimicrobial agents on one skin site.
Storage conditions and shelf life	Keep in a cool place until 2 years old.	Save 3 years in a cool place.

Ointment for enzymatic cleansing of wounds
	Iruksol
Pharmacodynamics Pharmacokinetics	Ointment for purulent wounds based on clostridio peptidase and chloramphenicol. Provides an enzymatic cleaning of the wound surface without negative side effects. Accelerates granulation processes.
Use of ointments for purulent wounds during pregnancy	Allowed under the supervision of a doctor.
Contraindications to use	Diseases of the blood, a tendency to allergic manifestations.
Side effects of ointments for purulent wounds	Rarely - a short temporary burning.
Dosing and Administration	Apply to moist wounds once a day, spreading throughout the wound surface.
Overdose ointment for purulent wounds	There were no cases of overdose.
Interactions with other drugs	Simultaneous use with any other external means is excluded.
Storage conditions and shelf life	Keep in a cool place for up to 5 years.

[9], [10], [11]

Altai self-made ointments from rotting wounds

Alternative medicine, based on the knowledge of the famous Altai herbalists, also offers its own recipes for accelerating the healing of purulent wounds. However, despite assurances of the effectiveness of Altai alternative drugs, we would not recommend using them to treat extensive purulent skin lesions.

• Rannozazhivlyayuschee means with cranberries:
  • 2 tbsp. L. Herb yarrow;
  • 1 tbsp. L. St. John's wort;
  • up to 10 red bilberries.

You should prepare an infusion of these herbs. Berries boil and wipe. For the procedure, the gauze napkin is drenched with decoction, put on the wound, and the wiped berries are laid over the napkin. Hold on the wound for 40 minutes.

• Prepare the bottom sheet of aloe, a small carrot, a tablespoon of honey and melted butter. Aloe is grinded with carrots, mixed with butter and honey and applied under a bandage for several hours.
• Squeeze the juice from the leaves of the lilac, soak the napkin and apply to the wound several times a day.
• Mix the juice from the grape leaves with the juice of the onion bulb. Use for lotions on purulent wounds up to 3 times a day.

It is not necessary to prepare immediately a large amount of a remedy, since the ointment does not contain preserving components and can not be preserved for a long time.

[12], [13]

The best ointment for purulent wounds

There are many effective ointments for treating purulent wounds. In any pharmacy you will be offered at least a few external products of various companies and producing countries. For example, very popular are ointments, which are developed and manufactured in Germany, Israel, India. For example, an Israeli ointment for healing purulent wounds based on dead sea minerals often helps to quickly cope with the problem of purulent inflammation.

However, without a doubt, the best ointment for treating purulent wounds is the ointment that the doctor will prescribe. The competent purpose of the drug is based on the results of the analysis on the sensitivity of microbes.

The fact is that improper selection of an external agent can lead to tissue necrosis, increased multiplication of microbes, absorption of toxic substances and generalization of the process. As a result, complications can occur in the form of lymphadenitis, erysipelas, sepsis, thrombophlebitis. Purulent inflammation in a short time can spread to other tissues. Treatment of such a complication will be many times more complicated and more lasting. Therefore, one should not blindly select an ointment for purulent wounds: it is better to entrust the choice to a qualified doctor.