NHS Greater Glasgow & Clyde Area Drug and Therapeutics Committee
Greater Glasgow and Clyde Prescribing
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13 Skin

13.11 Skin cleansers, antiseptics, and preparations for promotion of wound healing

13.11.1 Alcohols and saline

Preferred list
INDUSTRIAL METHYLATED SPIRIT

Prescribing Notes:

Used for skin preparation prior to injection.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/6230.htm#_6230

SODIUM CHLORIDE

Prescribing Notes:

Sterile sodium chloride 0.9% is often used as an irrigation fluid for wounds and ulcers.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/70322.htm

Total Formulary

13.11.2 Chlorhexidine salts

Preferred list
CHLORHEXIDINE GLUCONATE

Prescribing Notes:

Brands include: Hibiscrub®, Hydrex® and Unisept®. See individual preparation literature for appropriate uses and directions.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/6237.htm

CHLORHEXIDINE AND CETRIMIDE (TISEPT) (solution)

Prescribing Notes:

Used for general skin disinfection and wound cleansing.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/6249.htm

CHLORHEXIDINE AND CETRIMIDE (TRAVASEPT 100) (SOLUTION)

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/6250.htm

13.11.3 Cationic surfactants and soaps

For skin cleansing preparations that contain cetrimide, see section 13.11.2

13.11.4 Iodine

Preferred list
POVIDONE- IODINE

Prescribing Notes:

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.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/6270.htm

13.11.5 Phenolics

Preferred list
TRICLOSAN

Prescribing Notes:

Available as a hand rub and bath concentrate. Used for disinfection and pre-operative hand preparation. See individual preparation literature for appropriate uses and directions.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/6274.htm

13.11.6 Oxidisers and dyes

Preferred list
HYDROGEN PEROXIDE BP (solution)

Prescribing Notes:

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 13.10.1.1.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/6286.htm

POTASSIUM PERMANGANATE

Prescribing Notes:

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.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/6289.htm

Total Formulary
ZINC SULPHATE

13.11.7 Preparations for promotion of wound healing

Preferred list
SILVER SULFADIAZINE (FLAMAZINE)

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/6133.htm