1. In some cases, sharp debridement of visible dead tissue may be required before the first application of Trifectiv^® Plus Wound & Burn Care. Please consult with your doctor or a wound sister if you are unsure whether this is required.
2. Wounds should be cleaned before the first dressing of Trifectiv^® Plus Wound & Burn Care is applied. Do this by washing the wound with a sponge, warm water and a little non-medicated bubble bath (do not wash with soap, saltwater, peroxide or any other disinfectant). Rinse well with clean water to remove all the cleanser. Pat the wound dry with a clean towel.
3. Thoroughly spray the affected area and allow it to dry for 1 minute. Please do not rub the solution into the skin.
4. Spray 5 mL* of Trifectiv^® Plus Wound & Burn Care onto 3-5 sheets of clean, non-sterile woven gauze until the gauze is wet but not drenched.
5. Press the wet gauze directly onto the wound, ensuring contact with the entire wound bed. For deeper wounds, ensure that the wet gauze layers are fully plugged into the wound so that direct contact with the entire wound surface is achieved (use forceps if required). Ensure that all gauze swabs are reachable and visible to avoid leaving swabs inside any cavities. For deep, narrow wounds, you can syringe them with Trifectiv^® Plus Wound & Burn Care before dressing.
6. Cover the wet gauze dressing with a crêpe bandage or breathable plaster (do not use waterproof dressings). Repeat steps 4, 5 and 6 every day or on alternative days.
7. Clean the wound at least twice per week under running water for 2-3 minutes before applying a new dressing. Do not wash with soap, saltwater or any other disinfectant.

If the area can be left open, spray Trifectiv^® Plus Wound & Burn Care every 2-3 hours onto the wound and let it dry naturally. Patients should walk or exercise regularly, as much as they are able, to encourage blood flow and improve healing.

*Each dressing of 3-5 layers of woven gauze needs 5 mL of product—this equals 50 pumps (100 mL size bottle) or 10 pumps (450 mL size) per dressing. This ensures optimal wetting of the gauze for debridement and healing. 

NOTES:
Why use gauze?
Woven gauze is an easy and effective way to remove damaged tissue from the wound (debridement). Wound discharge (exudate), dead tissue and biofilm stick to the gauze and are easily removed from the wound with each dressing change. Removing damaged tissue optimises healing and radically reduces inflammation. Ensure at least 3 to 5 sheets of woven gauze are used and all the layers have been wet with Trifectiv® Plus before applying to the wound bed.

Paraffin gauze:
If the wound bleeds when you remove the gauze dressing, then put a single layer of non-medicated paraffin gauze onto the wound before applying the wet gauze dressing. ONLY use paraffin gauze if ALL necrotic material (dead tissue, dead biofilm, foreign bodies) has been removed through wet-to-moist debridement as per the above dressing instructions. The paraffin gauze will minimise pain during dressing changes.

Lower leg wounds:
In the case of lower leg wounds, always apply a compression stocking from the foot to the knee, over the bandage, to control inflammation. This must be worn 24/7.