How should I manage a clean, minor abrasion in a child to prevent infection and promote healing?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 22 August 2025Updated: 22 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

Management of a minor, clean abrasion in a child to prevent infection and promote healing involves the following steps:

  • Clean the wound gently with water to remove any dirt or debris, avoiding harsh antiseptics or topical antimicrobials as these are not routinely recommended for minor wounds in children.
  • Apply a suitable dressing that maintains a warm, moist healing environment to promote faster healing and reduce infection risk. Avoid gauze dressings as they are not recommended.
  • Ensure adequate hydration and nutrition appropriate for the child's age to support healing.
  • Monitor the wound for any signs of infection such as spreading redness, swelling, or pus, and seek medical advice if these occur.
  • Avoid routine use of systemic antibiotics unless there is clear clinical evidence of infection.

These steps help prevent infection and promote optimal healing in minor, clean abrasions in children.

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