Subcutaneous Tissue Swelling and Prolonged Edema: Unexpected Outcomes of the Disinfection Through Octenidine Dihydrochloride (Octenisept®)

Abstract

Wound management in the pediatric age commonly deals with penetrating injuries, involving a range of structures, such as skin, blood vessels, bones, nerves, tendons and joints. Octenidine dihydrochloride (Octenisept ® ) is an antiseptic agent for disinfection of acute or chronic wounds. Its broad spectrum efficacy has been a key factor to spread its utilization in many outpatient clinics. This paper reports on the outcomes of the use of Octenisept ® to treat prolonged edema and tissue swelling of deep wounds in three children, aged between 3 and 8 years old. The underlying physiopathological mechanism remains unclear. All patients presented a full recovery of the problem at 6 months of the incident and no late complications or disabilities were associated. We recommend not irrigating octenidine dihydrochloride in any complex or penetrating wounds. Int J Clin Pediatr. 2022;11(1):9-13 doi: https://doi.org/10.14740/ijcp437