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Why do doctors not use hydrogen peroxide?

Published in Wound Care Practices 3 mins read

Doctors generally do not recommend or use hydrogen peroxide for wound care because it can hinder the natural healing process rather than promote it. While it creates a visible bubbling action that might seem like it's cleaning, this reactivity is not selective and can cause more harm than good to the wound environment.

The Detrimental Effects of Hydrogen Peroxide on Wound Healing

The primary reason medical professionals advise against hydrogen peroxide for cuts and scrapes is its damaging effect on healthy tissue. Its powerful reactive properties do not differentiate between harmful germs and the body's own beneficial cells.

Here's why hydrogen peroxide is counterproductive for wound healing:

  • Kills Healthy Cells: Hydrogen peroxide indiscriminately destroys normal cells within a wound. This includes crucial healthy skin cells and immune cells (like white blood cells) that are vital for fighting infection and initiating repair. By killing these essential cells, it actively sets back the healing process.
  • Impairs Blood Vessel Formation: The formation of new blood vessels (angiogenesis) is a critical step in wound repair, ensuring that the damaged area receives adequate oxygen and nutrients. Hydrogen peroxide slows down this vital process, further delaying recovery.
  • Prevents Healing: By damaging healthy tissue and inhibiting key biological processes, hydrogen peroxide effectively prevents the wound from closing and regenerating efficiently. It creates an environment that is less conducive to healing rather than promoting a sterile and regenerative one.

For a deeper understanding of wound care practices, you can learn more about effective first aid for cuts and scrapes here.

Modern Alternatives for Wound Care

Instead of hydrogen peroxide, medical professionals recommend simpler, safer, and more effective methods for cleaning and caring for wounds. The focus is on gentle cleaning and maintaining a moist, protected environment that supports the body's natural healing capabilities.

Recommended wound care typically involves:

  • Gentle Washing: Cleaning the wound with mild soap and lukewarm running water is usually sufficient to remove dirt and debris.
  • Antiseptics (when necessary): For some wounds, specific non-cytotoxic (non-cell-damaging) antiseptics like povidone-iodine or chlorhexidine may be used, but even these are often reserved for particular situations and not for routine cuts.
  • Moist Environment: Keeping the wound moist with an appropriate dressing (e.g., hydrogel, hydrocolloid, or simply a non-stick pad with a petroleum jelly-based ointment) can significantly speed up healing and reduce scarring.
  • Protection: Covering the wound with a sterile bandage protects it from further contamination and injury.

In summary, while hydrogen peroxide might create an impressive fizz, its cellular damage outweighs any perceived benefits for wound disinfection, making it an outdated and often harmful choice for modern wound care.