- Cleanse the pressure ulcer and surrounding skin at the time of each dressing change. (Strength of Evidence = C)
- Cleanse healing, clean pressure ulcers with normal saline or potable water (i.e., water suitable for drinking). (Strength of Evidence = C)
- Consider using cleansing solutions with surfactants and/or antimicrobials to clean pressure ulcers with debris, confirmed infection, suspected infection, or suspected high levels of bacterial colonization. (Strength of Evidence = C)
- Cleanse surrounding skin. (Strength of Evidence = B)
- Cleanse the pressure ulcer using an irrigation solution, and apply sufficient pressure to cleanse the wound without damaging tissue or driving bacteria into the wound. (Strength of Evidence = C)
Generally, irrigation pressure between 4 and 15 pounds per square inch (PSI) should be adequate to clean the surface of the pressure ulcer without causing trauma to the wound bed.
- Contain and properly dispose of used irrigation solution to reduce cross-contamination. (Strength of Evidence = C)