Comment by olddog2
It comes as lyophilized powder. You reconstitute the drug yourself and follow WHO sterility guidelines (reconstitute with bacteriostatic water, alcohol wipe ampoule top before accessing, keep it in the fridge, and throw it out if you havent finished it within 30 days). I know a dozen people doing this for the last year and none of them have had any sign of even superficial infection.
I think the way it works when you get bacteria into your blood is either you have no noticeable symptoms, or you get a high fever and almost die from sepsis.