Do Not Put Hydrogen Peroxide or Povidone Iodine Into Wounds!

Öberg, Michael

doi:10.1001/archpedi.1987.04460010027015

Cited by 17 publications

(7 citation statements)

References 6 publications

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“…Uncomplicated wounds can be dressed with plain gauze and an absorbent pad, though it is important to change the dressing often enough that the packing gauze does not dry out (Svensjö et al 2000;Ousey et al 2016). Topical antiseptics such as Dakin's solution, iodine, and hydrogen peroxide are likely cytotoxic to healthy tissue and should be avoided (Cardile et al 2014;Oberg 1987). Recommendations for complex wounds should be sought from a wound care team, particularly for patients with multiple medical conditions which may impair wound healing or who are taking medications such as chronic steroids which may impair wound healing.…”

Section: Treatmentmentioning

confidence: 99%

A review of post-caesarean infectious morbidity: how to prevent and treat

Pierson

Scott

Briscoe

et al. 2018

Journal of Obstetrics and Gynaecology

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Post-caesarean infectious complications result in significant maternal morbidity and mortality as well as increased readmissions and increased health care cost worldwide. This review provides a discussion of several risk factors that have been identified which predispose women to post-surgical infection. We also provide an overview of strategies for infection prevention including antibiotics, surgical techniques and negative pressure wound therapy. Criteria for diagnosis of wound infection are provided, as well as appropriate treatment regimens. Given the impact of maternal post caesarean infection, it is important for women's health care providers to understand how to prevent these infections, as well as recognise and treat them.

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Section: Treatmentmentioning

confidence: 99%

A review of post-caesarean infectious morbidity: how to prevent and treat

Pierson

Scott

Briscoe

et al. 2018

Journal of Obstetrics and Gynaecology

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“…17 Additionally, many commonly used topical antiseptics are directly toxic to human cells. [18][19][20][21] Nutrition…”

Section: Medicationsmentioning

confidence: 99%

“…Both hydrogen peroxide and povidoneeiodine are toxic to human tissues, and should not be applied chronically to wounds. [18][19][20][21] Instead, patients wishing to clean their wounds at home should do so with gentle soap and water. Other antiseptic preparations may be beneficial in appropriate situations.…”

Section: Antimicrobialsmentioning

confidence: 99%

Treating the chronic wound: A practical approach to the care of nonhealing wounds and wound care dressings

Fonder

Lazarus

Cowan

et al. 2008

Journal of the American Academy of Dermatology

531

439

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“…Undoubtedly systemic antibiotics are indicated in cases of overt wound infection (94), and all antimicrobial agents must be used sparingly to avoid the selection of resistant strains. Whereas iodine used to be considered to be inappropriate for wound care (95,96), attitudes are changing as a result of the analysis of accumulated data.…”

Section: Evaluating Information About the Efficacy Of Iodinementioning

confidence: 99%

Iodine revisited

Cooper

2007

International Wound Journal

118

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Iodine is an antiseptic that has been used in wound care for more than 150 years. Traditional formulations of iodine had serious limitations that were reduced in later products. Much has been written about iodine and opinions on its clinical efficacy are divided. There have been reviews of the chemical properties of iodine, its antimicrobial activity, human physiology, cytotoxicity and its clinical effectiveness, but few have addressed all these aspects. With the recent development of iodine-containing wound care products and the continued publication of laboratory and clinical studies, it seems timely to reassess the evidence relating to the effectiveness of iodine for treating wounds. This literature review attempts to provide an appropriate chemical and physiological background of the characteristics of iodine in order to provide a sound basis for understanding the available microbiological and clinical data. It will show that understanding the factors that contribute to the activity and potential cytotoxicity of iodine are important in evaluating the clinical evidence. Although definitive studies are needed, the sustained delivery of low doses of free iodine offers the potential to inhibit a broad range of microbial species without selecting for resistant strains or inducing cytotoxic effects.

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Do Not Put Hydrogen Peroxide or Povidone Iodine Into Wounds!

Cited by 17 publications

References 6 publications

A review of post-caesarean infectious morbidity: how to prevent and treat

A review of post-caesarean infectious morbidity: how to prevent and treat

Treating the chronic wound: A practical approach to the care of nonhealing wounds and wound care dressings

Iodine revisited

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