Hydrogen Peroxide - Dos and Don’ts
Is Hydrogen Peroxide good for wound care?
We are familiar with hydrogen peroxide and many of us were taught to use it to clean our cuts, abrasions, minor lacerations and puncture wounds. However, modern medical guidance has changed quite a bit.
Is Hydrogen Peroxide safe?
It does kill bacteria, which is why many of us use it.
However, due to the potential harm to healthy tissue, it can hinder the natural healing process and increase the risk of infection.
The bubbling seen is not just cleaning the debris from the wound, it is also harming new cells trying to repair the wound.
When would it be okay?
For very dirty wounds and with a gentle one-time rinse of diluted peroxide (1 part hydrogen peroxide to 2 parts water) to remove debris.
After a one-time gentle rinse with diluted peroxide, it is best to switch to safer cleaning methods.
When to avoid using Hydrogen Peroxide
On deep wounds or serious injuries
Burns
Or using it repeatedly on cuts, scrapes, or surgical wounds
What alternatives to use to clean wounds
Rinse the wound with clean water or saline
Use mild soap around, not inside, the wound
Apply thin layer of petroleum jelly or an antibiotic ointment such as Neosporin or Bacitracin
Cover the wound with a clean bandage to keep it moist and protected
Change the dressing daily or if it gets dirty or wet.
When to see a healthcare provider
For deep wounds, gaping or heavily bleeding wounds
If signs of infection are present, such as redness, warmth, pus, swelling or fever
Wounds that do not improve after a few days
Animal or human bites
Conclusion
Even though hydrogen peroxide has been traditionally used for cleaning wounds, modern medical guidance suggests using it with caution or avoiding it all together. Peroxide is not the go-to anymore as it can delay the healing process. It is best to use gentle cleaning methods, such as mild soap and water. And always consult with a healthcare provider with serious and non-healing wounds or with any other concerns about wound care.
References
Tissue damage: The University of Utah, CityMD, WCEI,
Effectiveness: The University of Utah, WebMD
Cleaning: Biology insights.com, WebMd
Use of hydrogen peroxide: Biology insights.com