[Patient advice.]

Atencion primaria / Sociedad Espanola de Medicina de Familia y Comunitaria

PubMedID: 24998084

Eulalia Lucio-Villegas Menéndez M, González LL, Isabel Gutiérrez Pérez M, Lluch NA, Luisa Morató Agustí M, Cachafeiro SP, Grupo de Enfermedades Infecciosas de la semFYC, Coordinadora del Grupo Infecciosas SocalemFYC. [Patient advice.]. Aten Primaria. 2014;46S225-31.
In wound care, knowing what to do is as important as knowing what not to do. The first step is to evaluate the severity of the lesion and to know whether it is necessary to attend a health center or not. If the wound is simple, the recommended course of action is cleansing with serum or water after washing one's hands, followed by wound disinfection with the most appropriate antiseptic. Antiseptics not should be used for wound cleansing (physiological serum or tap water should be used) or for wound healing with granulation tissue. Equally, antiseptics should not be used in the ear or near the eyes; if there is accidental application, the eye should be washed in abundant water. Povidone iodine should not be used in pregnant women, nor should iodine preparations be used in neonates, in patients with thyroid alterations or in those allergic to iodine. Currently, merbromine/mercurochrome is not used because of its mercury content. Before an antiseptic is applied, all inorganic residues (foreign bodies) and dead tissue should be removed; detritus, slough, purulent exudate, scabs… This will aid healing and the action of antiseptics, since they become inactive in the presence of organic material.