What should I clean a wound with?

For several different wound types, the same advice comes up: mild soap and water, without scrubbing. Pressure sores at one stage are cleaned with saline instead, and hydrogen peroxide and iodine cleansers should be avoided unless a provider tells you to use them.

There is no single set of instructions for cleaning every wound. But the same instruction turns up again and again for different kinds of wounds.

After a cesarean section (C-section): keep the wound area clean by washing it with mild soap and water. After open gallbladder surgery: keep the wound area clean by washing it with mild soap and water. For a stage I pressure sore: wash the area gently with mild soap and water.

After a C-section, there’s something that reassures most people who ask this question. You don’t need to scrub it. Often, just letting the water run over your wound in the shower is enough.

Closed surgical wounds follow the same idea. If your surgeon gives the OK, gently rinse the wound as you bathe. Do not rub or scrub the wound. Don’t use lotions, powders, cosmetics, or any other skin care products on the wound.

Not every wound is cleaned the same way. For a stage II pressure sore, where the skin is broken, clean the area with salt water, also called saline, and rinse to remove loose, dead tissue. That’s a different instruction for a different wound, which is the point: the wound decides the method.

There’s one thing not to reach for with pressure sores. Do not use hydrogen peroxide or iodine cleansers unless your provider tells you to, because they can damage the skin.

All of this is a pattern across several specific sets of instructions, not a rule covering every wound. If you have been given a cleaning routine for your own wound, that is the one to follow.

What to watch for

The instructions on this page are for specific wounds: two kinds of surgical incision and a pressure sore. If you have been given a cleaning routine for your own wound, it came from someone who could examine it, and it comes before anything here.

Don’t use hydrogen peroxide or iodine cleansers unless a provider tells you to, because they can damage the skin. Don’t put lotions, powders, cosmetics or other skin care products on a wound.

If no one has told you how to clean your wound, ask rather than choosing a product yourself.

Wound Wizard is general education and can’t assess your wound or your situation. Your own clinician is the right person to ask about your wound.

What we look at

  • Examining the wound and the skin around it
  • Identifying the type of wound and what caused it
  • Advising what to clean it with and how often
  • Showing you the technique for your particular wound

Sources

  1. How to care for pressure sores — MedlinePlus, U.S. National Library of Medicine https://www.medlineplus.gov/ency/patientinstructions/000740.htm
  2. Surgical wound care - closed — MedlinePlus, U.S. National Library of Medicine https://medlineplus.gov/ency/patientinstructions/000738.htm
  3. Going home after a C-section — MedlinePlus, U.S. National Library of Medicine https://medlineplus.gov/ency/patientinstructions/000624.htm
  4. Gallbladder removal - open - discharge — MedlinePlus, U.S. National Library of Medicine https://medlineplus.gov/ency/patientinstructions/000118.htm