Wound Management


Clinical nursing information when using MEBO burn repair / MEBO wound repair

Both MEBO burn repair and MEBO wound repair provide a physiologically
moist environment and constant nutritional supply to promote the regeneration
of cells from the epithelium and sub-epithelial tissues in the residual fatty layer to heal wounds.

MEBO is an acronym for Moist Exposed Burn Ointment.

The name of the ointment indicates two important protocols to be adopted when using this product to heal a wide range of skin wounds.

Firstly, during the healing stage the wound must remain moist with the ointment.

Secondly, with reference to ‘Exposed’, it is not necessary to cover the wound site with a secondary dressing. MEBO includes ingredients that provide a barrier function (sesame oil and beeswax) and have antimicrobial effects. Avoid contact with clothing or bedding as staining may result.

However, a secondary dressing may be appropriate to further protect the wound site if contact with clothing or bedding is an issue. 

Dressing directions for the consumer are clearly explained on the leaflet inside
the product packs. It is vital to follow these directions closely for optimum healing results.

Throughout the healing process, avoid disturbing the wound site (there should be
no pain or bleeding). Further injury to the wound should be avoided to protect viable cells and tissues. A fibre membrane, which forms on the wound surface, provides a physiologically moist environment for skin regeneration in situ. Injury to this membrane should be avoided.

DO NOT use antiseptic agents or water to clean the affected area.

Debridement should be managed carefully. Before each dressing change, necrotic tissue and wound by-products should be gently removed to allow for smooth drainage and to promote fresh granulation and tissue repair. Gently press down
on the wound site with sterile gauze to absorb the wound by-products.
Both MEBO burn repair and MEBO wound repair naturally debride necrotic or non-viable tissue on and around the wound site. As a result, some enlargement of the wound site may occur after initial treatment, especially if the wound is an ulcer.

Signs of initial healing, not to be misinterpreted as infection, will include the appearance of white islets of material on the wound surface and a colour change indicating the return of blood, cell fluid, and oxygen to the site.

By managing bacterial spread, thus reducing pathogenesis, and promoting local resistance on the wound site, both ointments can protect wounds from infection. However, this does not replace the need for antibiotics should signs of major infection present. Systemic treatment can be used in conjunction with the ointments.

Both ointments have strong analgesic properties, offering good pain relief. Some patients report a stinging sensation on first application of the ointments. This generally dissipates after a few minutes. The only contra-indications noted have been with patients sensitive to sesame or beeswax. In these cases, patch tests should be applied to assess the appropriateness of this treatment. Due to the liquefactive nature of the ointments, they should not be used with wounds containing organic sutures.

Safety Profile:

MEBO burn repair has very limited systemic absorption; however, care is recommended for patients sensitive to sesame and beeswax. In some controlled clinical trials, 2% of patients had local allergic reactions (itching, flushing). Symptoms subside once application is discontinued. MEBO products are safe to use in pregnancy and with young children.

MEBO burn repair has extensive safety and toxicological data. There have been no known safety issues reported and no warning or recall procedures made.

If adverse reaction or infection persists, see your healthcare professional.

Efficacy:

According to large-sample statistics (over 350,000 patients per annum), the total curative rate of MEBO burn repair is 99.42%

Curative rates for patients with Total Body Surface Area (TBSA) burns greater than 50% is 94.2% and similarly, those with TBSA burns greater than 90% is 89%. 

Disability rate is less than 2.05% and total mortality rate over 16 years is only 0.58%. 

Product Care:

High temperatures or excessive handling may alter the consistency of the ointment. This will not change its effectiveness.

To return the ointment to its normal state, immerse the upright tube in hot water
for 1 to 2 minutes. Allow to cool, standing the tube on its top. Keep sealed; store in
a cool, dry environment (less than 20° C).

Outer dressing when usingMEBO wound repair / MEBO burn repair

Dressing the wound

Dressing-wound-diagram

For contaminated or infected wounds, normal saline or 0.5% iodine can be used when cleaning the wound for the first time. This can be done with swab sticks. The only other time iodine or saline can be used is when cleaning the wound surroundings during dressing changes. No other agents should be used. Sterile forceps, tissue scissors, sterile dry gauze or cotton buds should be used when clearing away softened necrotic tissue, remnant MEBO ointment and other residual debris during debridement and wound cleaning. Three important principles should be observed. No pain, no bleeding and no further damage to viable tissue. The wound must remain moist with the MEBO ointment.

After gently cleaning the wound, smear 1 – 2mm of MEBO ointment over the wound surface with a tongue depressor or sterile gloves.  

Then cover with 1 – 2 layers of sterile gauze impregnated with MEBO burn repair /
MEBO wound repair. Wrap with several layers of dry sterile gauze and then a dry padded cotton dressing. If the padded cotton is not saturated with exudate at dressing change, the thickness is appropriate; otherwise the pad should be thickened. Finally, wrap the wound with a soft, elastic bandage with minimal pressure to ensure adequate blood circulation.

The frequency of dressing changes can be reduced in accordance with improvement of the wound but should be maintained at least daily to ensure the wound remains moist with MEBO ointment at all times.

Outer dressing procedure after cleaning the wound

Smear MEBO wound repair / MEBO burn repair onto the cleansed wound and  smooth evenly at a thickness of 1mm. with sterile gloves or tongue depressor.

Dressing-images-1

Cover the wound with two layers of sterile gauze impregnated with MEBO wound repair / Mebo burn repair.

Dressing Images 2

Apply several layers of dry, sterile gauze and a dry, cotton padded dressing.

Wrap the wound with a soft, elastic bandage with minimal pressure.