Is The Traumatic Wound Treated With Budobang Or Erythromycin?

When should antibiotics be used?
When should antibiotics be used? Antibiotics are only needed when there is a real infection or when prevention of infection is needed (such as high risk of secondary infection, skin folds, irregular parts, or high appearance requirements for external injuries).
But when infection is caused by trauma and antibiotics are needed, in most cases, oral antibiotics need to be administered, which enter the bloodstream through digestion and absorption for systemic administration. In this case, local topical antibiotics alone are not effective enough.
Actually, there is a concept that is easily confused by ordinary people. The nursing of trauma and wound is different from that of simple skin infectious diseases.
The former is the wound left on the body surface due to accidental or active elective surgery, while the latter is the infectious diseases of the skin and its appendages (such as hair follicles, sebaceous glands, etc.), such as folliculitis, furuncles, carbuncle, impetigo, infected acne, etc.
Although these infectious diseases mentioned later may also form wounds and wounds on the body surface, this is totally different from the first situation mentioned above. The treatment of the latter, especially in the early stages of the disease and when the affected skin area is limited, often the first choice is to use topical antibiotic ointment.
On the other hand, the former usually only requires regular wound disinfection and dressing changes. Unless the risk of infection is high or there are already signs of infection, external antibiotic ointments or even oral antibiotics may be needed.
What medicine is Baiduobang?
Baiduobang, actually a trade name, is a brand under GlaxoSmithKline in the United States. It was launched in the 1970s and began to be widely used in clinical practice.
Its common name, also known as the actual drug name, is mupirocin, which is a class A antibiotic of Pseudomonas aeruginosa. It mainly acts on gram-positive bacteria, such as various streptococci, Staphylococcus aureus, surface Staphylococcus, etc., and has a relatively good killing effect on these bacteria.
What medicine is erythromycin?
It is a macrolide antibiotic that can kill both Gram positive and negative bacteria, thus having a wider antibacterial effect. Therefore, oral erythromycin was extensively used in clinical practice in the early stages.
The advantage of erythromycin ointment is that it is cheap: its price is basically only one tenth of the price of Baiduobang.
What exactly should we choose?
To sum up, Baiduobang is mainly used for infectious diseases of skin and superficial soft tissue caused by gram-positive bacteria (most common skin infections are caused by gram-positive bacteria); Erythromycin can be used for a wider range of bacterial infections, but its overall effect is weaker, so it is often used for preventive use.
With the improvement of everyone's cognitive level, today we all know not to abuse antibiotics. The non abuse of antibiotics here not only includes oral and intravenous antibiotics, but also external antibiotics.
Overuse of topical antibiotics such as Baiduobang and erythromycin can also induce bacterial resistance on the skin surface, which is not conducive to wound recovery and counterproductive.