1. 2.2.7. Can the infected wound (including infected surgically operative incision ) be treated with MEBT/MEBO and How to change dressing?
    • 2010/10/25 11:38:05
    MEBT/MEBO has significant effect of liquefying necrosis, smoothing drainage, prohibiting the growth and proliferation of bacteria and promoting wound healing. It can be applied to infected wound to control the infection and promote wound healing. For severely infected wound with abnormal temperature and WBC value and without obvious improvement of the systemic symptoms after the local treatment, combined therapy should be applied such as sensitive antibiotics by oral administration or injection to control infection, combined with nutrition supply and integrated treatment to improve the general immunity.
    MEBT/MEBO can also be applied to infected surgically operative incision. Substantial clinical reports on this subject have been reported as follows: 1) Zhao Bin, et al. [48] MEBO oil gauze was applied to treat 62 cases of infected incision after abdominal surgery. Pains were alleviated notably on the first day of MEBO application, and flare was relieved greatly on the second day. All the cases healed after an average duration of 12 days for wound healing with the shortest one being 4 days and the longest one being 20 days. The conclusion has been made that MEBO oil gauze has remarkable advantages in treating incision infection after abdominal surgery supported by sufficient scientific theories, and thus is deserved for clinical application. 2) Deng Feng Ping, et. al. [49] MEBO was applied 2 times a day topically to treat 26 cases of different operation incision infections, and with continual B-type ultrasonography to monitor the changes of the infected incision. With the results being all cases healing without inflammation diffusion, the conclusion was drew that MEBO has the following advantages when applied in the treatment of surgical incision infection: promote the extinction of inflammation, control infection diffusion, reduce the scar formation, accelerate incision healing and relieve incision pains. 
    MEBO treatment method: Infected wound with abundant secretion and necrosis should be rinsed with normal saline and dioxogen before dressing change for the first a couple of times. Then apply MEBO on the exposed wound with the thickness of 1 mm after the wound is dried by sterile gauze, and wound handling or drug changing was performed every 4 to 6 hours. Optionally, MEBO is applied with the thickness of 2-3 mm on the wound which is then bandaged by cotton dressing with changing dress for 2 to 3 times a day. During the treatment, necrosis on the wound should be removed for several times with surgical instruments by the principle of no damage to the normal tissue.