For all wounds, eight trials found the effect of cleansing with tap water compared with normal saline was uncertain: very low-certainty evidence. Regarding cost, two trials examined in the systematic review reported cost analyses, but the cost-effectiveness of tap water compared with the use of normal saline was uncertain: very low-certainty evidence. A relevant paper published after the Cochrane Review is a literature review by Monika Holman published in the Journal of Wound Care.
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ACEP Now: Vol 43 – No 11 – November 2024Of the seven studies included in the literature review, six studies demonstrated that use of tap water had no significant influence on wound infection rates when compared to normal saline; one study demonstrated that tap water did not increase wound contamination; and four studies established that tap water was cost-effective compared to normal saline.
Mr. Scheid is ACEP’s Communications Director.
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