Can I shower with a wound vacuum (VAC) in place?

Showering with a Wound VAC: Recommendations and Precautions

You should not submerge a wound VAC in water, but you can shower if you take proper precautions to protect the device with an impermeable cover. 1

General Guidelines for Showering with a Wound VAC

Protection Requirements

• The wound VAC system must be protected with a waterproof, impermeable cover during showering 1
• Both the catheter and connecting device must be completely sealed from water exposure 1
• After showering, inspect the dressing to ensure no water has penetrated the system

Step-by-Step Approach

1. Disconnect the VAC unit from power before entering the shower
2. Cover the entire VAC dressing and tubing connections with a waterproof barrier
3. Keep shower time brief to minimize risk of water penetration
4. After showering, thoroughly dry the external covering before removing it
5. Inspect the VAC dressing to ensure it remains intact and dry
6. Reconnect the VAC unit to power immediately after showering

Important Precautions

Absolute Contraindications

• Never submerge the wound VAC under water (no baths, swimming pools, or hot tubs) 1
• Do not allow water to directly contact the wound bed or VAC foam/dressing

Risk Factors to Consider

• Water contamination could introduce microorganisms into the wound 1
• Moisture trapped under the dressing can compromise the negative pressure seal
• Wet dressings increase the risk of skin maceration and infection

Evidence-Based Benefits of Wound VACs

Wound VACs provide several advantages that should be maintained during bathing:

• Active drainage of wound fluid (approximately 800ml can be evacuated) 1
• Reduction in wound edema 1
• Promotion of granulation tissue formation 2
• Decreased frequency of dressing changes 1
• Protection of surrounding skin from maceration 1

Special Considerations

For Central Venous Access Devices

If your wound VAC is near a central venous access device (CVAD), additional precautions apply:

• The CDC guidelines specifically allow showering with CVADs if proper impermeable protection is used 1
• For patients with ports, some may safely shower when the needle is removed and replaced afterward 1

For Specific Wound Types

• For vulvar or perineal wounds with VAC dressings, extra protection from urine or stool contamination is critical 1
• For abdominal wounds with VAC therapy, ensure the non-adherent interface layer remains intact after showering 1

Common Pitfalls to Avoid

• Failing to properly seal all connections before showering
• Showering with damaged or partially detached dressings
• Neglecting to inspect the dressing integrity after showering
• Delaying reconnection of the VAC unit after bathing

By following these guidelines, you can maintain personal hygiene while preserving the therapeutic benefits of your wound VAC system.