Hand Washing with Dermabond on a Laceration
Patients with Dermabond over a small laceration on their hand can safely wash their hands as normal, as Dermabond forms a water-resistant protective coating that allows normal healing to occur underneath.
Properties of Dermabond (Cyanoacrylate Tissue Adhesive)
Dermabond is a cyanoacrylate tissue adhesive that:
- Forms a strong bond across wound edges 1
- Provides a flexible, water-resistant protective coating 1
- Allows normal healing to occur beneath the adhesive 1
- Retains its strength, durability, and skin apposition even under conditions of moisture and stress 2
Hand Washing Recommendations
Safe Hand Washing Practices
- Use lukewarm or cool water (not hot) 3
- Higher water temperatures (>40°C) can affect the stratum corneum through lipid fluidization, increasing skin permeability
- Use mild soap or soap-free cleansers 4
- Wash for at least 15-20 seconds, covering all surfaces of hands and fingers 3
- Pat dry gently instead of rubbing 4
Post-Washing Care
- Apply moisturizer after washing to maintain skin integrity 4
- Use approximately two fingertip units of moisturizer for both hands 3
- Choose fragrance-free moisturizers with petrolatum or mineral oil for best results 3, 4
Important Considerations
What to Avoid
- Very hot water, which can damage both the skin barrier and potentially affect the Dermabond 3
- Harsh soaps or dish detergents that may be irritating 3
- Disinfectant wipes for hand cleaning 3
- Petroleum-based moisturizers if the patient needs to wear latex gloves, as these can compromise glove integrity 3, 4
Benefits of Dermabond for Active Patients
- Studies have shown that Dermabond maintains its integrity even in competitive athletes who return immediately to competition after wound repair 2
- In a study of professional hockey players, 97.6% of lacerations closed with Dermabond had good results at the conclusion of the game and at 7-day follow-up 2
When to Seek Medical Attention
- If the Dermabond seal appears to be breaking down
- If there are signs of infection (increased redness, warmth, swelling, purulent drainage)
- If there is increased pain at the laceration site
Practical Tips for Patients
- Wash hands normally but gently around the laceration site
- Allow hands to air dry or pat dry carefully
- Avoid picking at or peeling the Dermabond as it will naturally slough off as the wound heals
- Remember that Dermabond eliminates the need for suture removal 1
The evidence strongly supports that Dermabond provides a water-resistant barrier that allows patients to maintain normal hand hygiene without compromising wound healing.