From the Research
Dermabond is a medical adhesive used to close small wounds instead of stitches, and after application, it is crucial to keep the wound dry for 24-48 hours to ensure proper healing and minimize the risk of infection, as supported by the concept that bacteria progress from a vulnerable planktonic form to a treatment-resistant biofilm 1. The use of Dermabond has been shown to provide a superior microbial barrier compared to common pressure-sensitive adhesives, reducing the risk of infection 2. Key considerations for aftercare include:
- Avoiding the application of ointments, lotions, or liquid medications on the Dermabond, as these can weaken the bond
- Refraining from scrubbing, soaking, or swimming until the adhesive naturally falls off (usually 5-10 days)
- Gently patting the area dry after showering, which can be done briefly after the first 24 hours
- Not picking at the Dermabond film, as this can reopen the wound and increase scarring risk
- Protecting the area from prolonged sun exposure for several months after healing to prevent darkening of the scar It is essential to seek medical attention promptly if the wound reopens or shows signs of infection, such as increasing redness, warmth, swelling, pus, or fever. The role of antibiotic treatment after surgical debridement of superficial hand infections has been evaluated, and it was found that antibiotic treatment should be considered carefully and reserved for specific indications, such as severe infections and selected patients 3. However, the provided evidence does not directly address the use of antibiotics with Dermabond, and therefore, the primary focus should be on proper wound care and aftercare to minimize the risk of infection. In terms of microbial barrier properties, medical-grade cyanoacrylate tissue adhesives, such as Dermabond, have been shown to provide a superior barrier compared to common pressure-sensitive adhesives 2. Preoperative skin sealing with cyanoacrylate has also been investigated, and it was found to reduce microbial contamination of surgical wounds, although the overall wound contamination remained unchanged 4. Overall, proper aftercare and wound management are crucial to ensuring the effective use of Dermabond and minimizing the risk of infection.