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The standard of care in my county used to be opening up the wound, inserting a drain, flushing with sterile fluids and prescribing strong systemic antibiotics, but not “inserting” them into the wound space. This is because certain antibiotics at higher doses can kill healthy cells or cause kidney failure. It is changing now, as new research has shown putting antibiotics directly into the tissue is better at resolving the infection, but it isn’t always done. Many doctors are uncertain of what strength to use because of the lack of research and really you should perform a culture and sensitivity to the bacteria. Not many veterinarians will even do this, because of the risks. But I can send you some pictures of some very nasty wounds resolving because of this treatment plan.