Nasogastric intubation is the preferred method of alimentation because it Simplifies management of calories and fluids Stimulates intestinal peristalsis (which eliminates C botulinum from the gut) Allows the use of breast milk in infants Avoids the potential infectious and vascular complications inherent in IV alimentation Patients with wound botulism require wound debridement and parenteral antibiotics such as penicillin or metronidazole.