Purulent wounds occur in violation of the integrity of the skin, when there is purulent content in the lumen, inflammation at the edges. Pathology develops after infection of a clean wound( after a cut, puncture, etc.) or is formed due to a breakthrough of the abscess.
- Possible causes
- Characteristic symptoms
- General recommendations
- How to cure folk remedies?
- What is not recommended?
- Prevention Measures
Possible Causes of
Such wounds also occur during the post-surgical period: even with careful sterility, up to 30% of suppuration is noted during their carrying out. The causative agents in them are pyogenic microbes( strepto-, staphylococcus, proteic or intestinal stick, pseudomonas, less often - mycobacteria, salmonella, shigella, pneumococcus).
It is believed that any wound resulting from an injury is already infected( there are bacteria in it). To develop the infection, several factors are required:
- finding in the wound of a foreign body, blood clots or pieces of dead tissue;
- high levels of microorganisms that are pathogenic.
Suppuration of injured-bruised wounds occurs as a result of contamination of crushed tissues and a large number of necrotic. Suppuration of cut wounds is observed less often( their edges are little damaged, the wound channel is usually shallow).
Other factors that increase the risk of developing suppuration:
-
the presence of somatic diseases( healing is slower, the risk of suppuration increases); - diabetes( even minor damage can cause severe suppuration with further spreading of the process);
- weakened immunity( suppuration takes a sluggish current form, healing is prolonged, the tissue nearby may be involved in the process);
- type and location of the wound( less often suppuration develops in the head, cervical region, somewhat more often on the chest, abdomen, buttocks, especially the wounds located on the limbs);
- the time of year( the process of suppuration develops faster in warm weather at high humidity);
- age and body weight( suppuration rarely occurs in young and lean people).
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Characteristic symptoms of
All manifestations in purulent wounds can be divided into general and local.
Local symptoms:
- presence of skin lesions with purulent contents;
- , regardless of the amount of pus under it, granulations and areas with dead tissue can form.
Color purulent content and its consistency depends on the type of pathogen:
- yellow or white thick pus - with lesion of staphylococcus;
- brownish-yellow liquid - intestinal rod;
- greenish or yellowish watery - streptococcus;
- brown with fetid odor - anaerobic microbes;
- yellowish, changing color in the air - Pseudomonas aeruginosa.
The appearance of pus in the wound is accompanied by a bursting or pressing pain. With a complicated outflow of purulent contents from the wound( with the formation of a crust), the development of pus increases, the affected area becomes inflamed. There is a throbbing pain due to increased pressure in the wound.
Skin around the wound blush, hot to the touch. In neglected cases, the skin acquires a purple or purple-blue hue. The temperature rises, swelling of tissues around the wound is observed. Physiological functions are violated( due to severe pain and swelling).
Common symptoms are caused by general intoxication of as a result of toxins from the purulent wound entering the body:
- increases body temperature;
- general weakness;
- increased sweating;
- chills;
- loss of appetite;
- headache;
- in laboratory testing in the blood there is leukocytosis, accelerated ESR, in urine - protein.
General recommendations
Purulent wounds that have not been treated before are treated by surgeons. If the suppuration occurred after the initial surgical treatment, traumatologists deal with the treatment. Suppurative surgical wounds are treated by operating doctors.
Antibacterial drugs are selected taking into account the sensitivity of the pathogen. Treatment of purulent wounds includes:
- administration of antibacterial drugs;
- carrying out detoxification measures( for removal from the body of toxins, hemodialysis, hemosorption, forced diuresis, in outpatient conditions - abundant drinking);
- increased immunity( to increase the production of tissue protective factors and interferon by the body).
The greatest effect is given by:
- Ointment Vishnevsky;
- of liniment of synthomycin;
- ointment tetracycline;
- neomycin ointment.
Apply ointment dressings once a day. With extensive wounds, drainage is required.
How to cure folk remedies?
If the wound is suppurated, and you do not want to use medicines, you can use traditional medicine:
- aloe juice used for irrigation of wounds and lotions;
- gruel from the leaves of the grapes, attached to the wound, will clear it from the pus during the day( it has a haemostatic effect);
- lotion from sauerkraut will help remove dried blood and prevent the development of inflammation;
- powder, prepared from the root of ayr marsh, can be applied directly to the wound( has a bactericidal effect);
- the washed leaves of plantain are applied to the wound for 20 minutes( pus from small festering scratches stops and healing begins);
- paste fresh garlic paste on the site with a purulent wound for several hours( immediately itching may occur, gradually the wound will begin to clear of pus, bactericidal properties of garlic accelerate healing);
- sliced fresh leaves and chamomile flowers applied to the wound, left for a few minutes. You can cook a decoction of chamomile, used for lotions. Simultaneously with external application it is recommended to take infusion of chamomile inside.
What is not recommended?
You can not apply bandages with an ointment on an open purulent wound - this makes it difficult for the outflow of pus and promotes penetration of it deep into the tissues. For bandages, gauze napkins and bandages( instead of adhesive plasters) should be used to ensure air access to the wound.
In the presence of purulent wounds should refrain from visiting the bath, sauna, pool( in the summer - from bathing and sunbathing).Until the end of the course of treatment is not recommended to use essential oils( they are able to strengthen the inflow of fluid to the affected area).
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Prevention measures
To prevent the suppuration of wounds, it is necessary:
- handle any scratches, abrasions, cuts and other damage to the skin( iodine, green, hydrogen peroxide, manganese-potassium potassium solution);
- when handling wounds use sterile tools;
- make timely wound dressings;
- fulfill all the doctor's prescriptions;
- take care of your skin properly;
- use personal protective equipment at the enterprises( where it is provided).
When treating purulent wounds at home, treatment with simple and safe means with bactericidal properties speeds up the healing process.
