Originally Posted by GAtoCSU
Antiseptic solutions, such as povidone-iodine, chlorhexidine, and hydrogen peroxide, are toxic to tissues and may impede acute wound healing [25
]. The current literature supports no difference in ED wound infection rates when using potable tap water versus saline in adult and pediatric populations [28
]. Further, studies comparing saline irrigation with diluted 1% povidone-iodine have shown no difference in infection rates [26
I don't typically use anything other than water in the ED to clean wounds. Lots of controversy regarding wound management, but there is some thought that most antiseptic solutions may cause more harm than good to the wound surface so we don't routinely use them or recommend them for the management of wounds.
Extra points for citing literature in a buzz post, much obliged.
What's your take on laceration closure in back country/on multi-day trips? With consideration to saving space do you prefer sutures, staples, tape (micro pore), adhesives, or a certain combination? Is a broad spectrum antibiotic required for any partial closure, or is consistent irrigation enough? Do you ever perform a complete wound closure?