MPPT is not an antibiotic and it does not have any direct antimicrobial action – it does not kill the bacteria.
Bacteria have two main defence mechanisms by which they fight off the body’s immune cells: Toxins and biofilm.
MPPT removes the toxins when it absorbs the exudate thereby preventing these from attacking the immune cells; and
MPPT breaks up the biofilm thereby rendering the bacteria exposed to the body’s immune system.
Consequently, MPPT does not kill the bacteria themselves but paves the way for the body to fight back on the bacteria via many different routes.
In contrast, antibiotics inhibit a specific target in/on the bacteria themselves. As the MoA of antibiotics is usually very specific the bacteria only need a single mutation to render the antibiotic ineffective, i.e. to become resistant to the effect of the antibiotic.