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13.11 SKIN CLEANSERS AND ANTISEPTICS

13.11 SKIN CLEANSERS AND ANTISEPTICS

13.11.1 Alcohols and saline

Suitable for general cleansing of skin and wounds.  
See Joint Wound Care Formulary for order of preference - click here to access it 
GREEN     Sodium chloride 0.9% solution sachets (Irripod®, Normasol®)


13.11.2 Chlorhexidine salts

Suitable for disinfection of skin.
GREEN     Chlorhexidine cleansing solution (Hibiscrub®) 
GREEN     Chlorhexidines Gluconate Alcoholic & Aqueous Solutions (Hydrex® & Unisept® respectively) 
 
Both products are for skin disinfection by primary care prescribers only (different preparations are routinely used in secondary care). Both are listed on the Nurse Practitioners Formulary.
 

13.11.4 Iodine

Suitable for disinfection of skin
GREEN       Povidone-iodine (Betadine®) 
                    antiseptic paint 10%,  antiseptic solution 10%,

                    dry powder spray 2.5%,  surgical scrub 7.5%

13.11.5 Phenolics

Used as part of MRSA regimen
GREEN     Octenisan® skin cleanser   
GREEN     Triclosan skin cleanser


13.11.6 Astringents, oxidisers and dyes

Useful for oozing eczematous reactions
GREEN       Hydrogen peroxide solution 3% (10 vols.) 
GREEN       Potassium permanganate 400mg tablets for solution (Permitabs®) 
                    - 1 tablet dissolved in 4 litres in water provides a 0.01% (1 in 10,000) solution