Best Wound Topical Treatment.....

[adreamer2]

What have you used that you would suggest as the best wound treatment....

Someone suggested Debride.....

What would you suggest?....

Adreamer2

[saratogatan]

iodine + triple-anit-biotic ointment.

save you the insanity of paying so much for debride, which does not always work.

stan

[Steve E]

I would recommend Duncan Griffith's method of treatment. Also a copy of his book is a must have for anyone who will be treating their fish. (just my humble opinion of course) Both the book and the medications he uses are available through his web site and payable through paypal. Basically his method involves a topical antiseptic and a sealer (very basic telling on my part).

[GazKoi]

Yes i would also recommend the Duncan Griffiths Meds and book and i am lucky enough to have both I have posted a link to the book page so you can see how it is laid out and explained making it very easy to follow.The book also include dose rates for both UK & US

http://www.koiquest.co.uk/koihealthbook.html

[Brutuscz]

Here is a few options:

Gentian violet...cover with denture powder
betadine.also cover with denture powder
Bio bandage..more money than non-fish medicine
Gentamycin ointment...good for gram negative infections (what we normally see in koi)

I clean wounds with hydrogen peroxide on a cotton ball or gauze. Costia will bubble!!!

Gentian violet and betadine are great at killing bugs...dont us them too many times. They may be cytotoxic and slow down wound healing. They do this in human skin.

Hope this helps!!!

[GazKoi]

Yes i also use HP for the cleaning on wounds but remember not to wipe away as if HP gets on any new scales or tissue thats the end of it.Once put on leave it to bubble away and in doing so will be cleaning all the crud and dead stuff ready for drying of and topical.

[elunned]

Handling is stressfull, and will tend to strip the slime coat. Wear gloves and work on moist bubble-wrap. Have everything you need at hand including a helper. Don't answer the phone (grin). Anesthetize the fish and work quickly. Have a fresh tub of aerated water ready for recovery from anesthesia.

The basic approach is to thoroughly clean the affected area and remove any diseased tissue (debride the wound). This includes removing any damaged scales, since secondary infections often take hold in such hidden areas. Obviously a fresh injury while require a much less aggressive approach than an ulcer, or saprolegnia infection. A chemical agent can be used during this step as a cauterizing agent: potassium ppermanganate and hydrogen peroxide are both effective but harsh, and will also kill healthy tissue. Povidone (betadine) is a bit milder but not as effective. The wound can then be treated with an antimicrobial agent, like antibiotic ointment or Tricide/Neocide powder. The final step is sealing the wound - powdered dental adhesive works nicely.

Cotton swabs or foam spears can be used to control application of cauterizing agents. Make sure you do not get them in eyes, gills, mouth etc.

Chemical agents should not be used more than once, since they will damage any newly healing tissue, but antimicrobial treatments like Antibiotic ointment, Biobandage or Tricide could be re-applied.

In general, the best approach is to treat once agressively and then leave the fish alone in highly oxygenated, lightly salted (0.15%) water that is warmed to around 70 degreesF with perfect and stable WQ. (Fix a mirror to the underside of the tank.)

The hardest thing to do is wait for the injury to heal. If you see increased area of redness, there is an infection, but healing tissue starts as a thin white film. Antibiotic injections require multiple handling - and you always have to balance risk with benefit and work within your own abilities/experience. If the koi started out strong, with a healthy immune system, less tinkering is best. If it was weak and stressed, more handling could push it over the edge. Find a mentor you trust.

(If the damage is secondary to parasites, then those must also be addressed.)

[kingkong]

I have used the Kusuri damage topical repair kit with good luck.
Catch problem early. Anaethetize koi, dry the wound. Spray Roccal on wound and dry off again. Then spray penetrating mercurachrome/alcohol solution. Sprinle Orahesive powder then blow off excess powder. Finally spray Top Dresser soution over powder. That's it! Oh, return koi to pond and resuscitate. Always wear gloves. Good Luck.

[dick benbow]

I like bee propolis. I use it on myself as well. Ross taught me at Quality Koi Company when i was out there last fall. It's natural and unlike some chemicals
it doesn't set things back before it moves things ahead......

[ChrisC]

Dick--where do you get bee propolis?


I learn something every day.....