Here is a glimpse of a few piercings I performed during an exhibition for colleagues in New England. I enjoy sharing ideas and techniques with my peers. Let me know what you think.
My goal is an atraumatic aseptic technique: Primum non nocere
Thoughts on options for skin cleaning prior to body art procedures.
If a product is not labeled for surgical preparation, it really doesn’t matter how good of a hand and body soap or cleanser it is. It would only be a really strong hand wash product, or possibly aftercare for our purposes.
Choose a product that has claims as a “surgical skin preparation” because “scrub” alone is only the first step as cleaning. A two step “scrub then paint” process is appropriate and advised by CDC. That involves a solvent or detergent scrub to clean followed by the surgical antiseptic to kill microbes to an irreducible minimum level of contamination.
What does the evidence suggest that we use?
I have replaced this two step product in my procedure with a sterile version by Aplicare or Cardinal Health
I’ve been using FDA approved skin prep PVP-I, CHG or alcoholic CHG, or alcohol depending on the area, with a preference for sterile products, and keep looking for other safe, appropriate options.
For oral preparation, an antiseptic mouthwash containing CPC or dilute H2O2 and friction.
I’m still looking for a universal surgical preparation agent, and have not found anything on the market that is both proven and FDA approved other than PVP-I, CHG based products and alcohol. I don’t want to recommend anything unless it is tested and labeled for the purpose.