13.11. Skin cleansers, antiseptics, and preparations for promotion of wound healing
13.11.1. Alcohols and saline
Sterile sodium chloride 0.9% is often used as an irrigation fluid for wounds and ulcers.
Used for skin preparation prior to injection.
13.11.2. Chlorhexidine salts
Used for general skin disinfection and wound cleansing.
Brands include: Hibiscrub®, Hydrex® and Unisept®. See individual preparation literature for appropriate uses and directions.
13.11.3. Cationic surfactants and soapsFor skin cleansing preparations that contain cetrimide, see section 13.11.2
The following preparations are available for prescribing on the NHS in primary care:
- Betadine® Dry Powder Spray
See individual preparation literature for appropriate uses and directions.
13.11.6. Oxidisers and dyes
Available as 0.1% solution, which should be diluted 1 in 10, and as Permitabs®, where 1 tablet dissolved in 4 litres of water provides a 0.01% solution. See BNF and product literature for further information.
The 6% solution should be used for skin disinfection, particularly cleaning and deodorising of wounds and ulcers. For other topical antiinfective preparations containing hydrogen peroxide, see section 188.8.131.52.