So one of our readers asked us this question the other day: Is letting wounds ‘breathe’ a thing, if so, what purpose does it serve?

ANSWER

The goal of wound care is moist wound healing. If wounds are draining plenty of blood/pus/serous drainage and it isn’t being removed from the wound by an absorbent dressing, the tissue can become macerated and will appear white. If t’s too wet, the tissue is swollen with water. This is bad for wound healing. This is maybe where people got the idea of letting a wound “breathe” to dry up some of the excess moisture.

However, letting it dry out completely is not ideal either.

Natural healing involves developing a scab, a dry cover for the wound. However, if the wound were instead moist (not wet), you would have faster migration of immune cells, new cells, growth factors, etc. as they can move through a moist environment easier. This is what topicals like polysporin (besides the Abx) help to achieve. Petroleum products will moisturize without macerating.

And the other question everyone asks: should I use peroxide to clean it? no. maybe. Here’s the thing. You can clean a wound very well with water or saline. Many wounds wash themselves out by bleeding! Peroxide will kill bacteria, but it also hurts exposed skin cells/other tissue, and that can slow healing. The surface of your skin is mostly keratin and peroxide won’t affect intact skin, but when it’s cut, the deeper layers can be affected. Basically, don’t peroxide every wound, but something like a cat bite, go for it.

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Last Update: September 1, 2016

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