CHAMGAP
VERIFIEDPassed the Codex final verification and publication gate. Evidence-verification cutoff: 2026-08-14. AI was used for research and drafting; the existence of all 2 cited sources was verified at the original page, followed by blind grading, adversarial audit, and build validation. Methodology v1.0.
Verdict No. 2540 · Search date 2026-08-14 · Methodology v1.0

2% hydrogen-peroxide cleansing,
does it really help with Increased percentage of skin-graft take at 21 days?

30-Second Summary
C
Evidence Grade C · 46 · Safety caution
Graft-take area was higher after 2% peroxide cleansing, but evidence comes from one fixed-side comparison.
Hydrogen peroxide can irritate tissue and impair migration of healing cells, and oxygen-related serious complications have been reported when used in deep or closed spaces. This supervised intraoperative 2%, five-minute, saline-rinsed procedure should not be copied for home wound disinfection.
What the
research shows
The grade is C. In 49 Iranian patients with bilateral limb wounds, right-side wounds received five minutes of 2% hydrogen peroxide followed by saline and grafting, while left-side wounds received conventional debridement and saline before grafting. Mean 21-day take was 82.85% versus 65.61%, P<0.05. Yet fixed right-side treatment was not true randomized allocation, and no mean-difference CI, SD, or exact P value allowed effect-size standardization; graft area was also a surrogate rather than closure or reoperation, giving C with 46 points.
What the
ads claim
This intraoperative five-minute 2% treatment of debrided chronic burn wounds cannot be turned into evidence for repeatedly disinfecting ordinary abrasions with pharmacy peroxide. Concentration, wound type, exposure time, saline rinse, and surgical supervision all differ.
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Useful facts when choosing a product

  • The trial applied 2% hydrogen-peroxide gauze for five minutes, rinsed with saline, and grafted immediately.
  • Graft take was the 21-day percentage of grafted area retained, not complete closure, infection, or reoperation.
  • Existing peroxide or wound verdicts address different indications; no direct duplicate of the selected PMID or DOI was found.
ID

Chamgap Semantic Classification Code

Candidate index · review held

UNK.cleansing-of-chronic-colonized-burn-wounds-with-2-percent-hydrogen-peroxide-gauze-immediately-before-grafting.UNK.percentage-of-skin-graft-take-at.increase.UNK

Unknown > cleansing of chronic colonized burn wounds with 2% hydrogen peroxide gauze immediately before grafting > Unknown > percentage of skin-graft take at > Increase claim > Unknown

An automated migration candidate, not an issued permanent code; exact claim scope remains under review. This machine-generated migration candidate helps retrieval but is not a permanent assignment. The original verdict ID and URL remain authoritative.

Download semantic index (JSON) · Codebook v1

Gap Measurement · Verdict 2540 · C 46
What advertising claims
What independent, higher-quality research supports
△ GAP
01

What the research actually shows

Mohammadi prospectively compared 98 limbs in 49 patients with bilateral chronic colonized burn wounds. Right wounds were debrided, treated with 2% hydrogen-peroxide-soaked gauze for five minutes, rinsed with saline, and grafted; left wounds received conventional debridement, saline, and grafting. Although the title called it randomized, treatment side was fixed, and a later evidence map classified it as a nonrandomized intra-individual comparison. A surgeon estimated 21-day graft-take area, with assessor masking unconfirmed. No registration or complete Funding or Acknowledgment text was identified.

02

Why this is classified as C (46)

A positive human comparison exists, but it measured only a 21-day surrogate and combined 49 participants, fixed-side assignment, uncertain masking, and inadequate effect-size reporting, giving C with 46 points.

Counterpoint. C does not mean the surgical procedure is definitively ineffective; it means one promising signal awaits replication and clinical outcomes.

Rejudgment record. Cross-check applied — We cross-checked patient and limb denominators, fixed right-versus-left assignment, concentration, duration, saline rinse, the 21-day graft-area outcome, and effect-reporting limits against the PubMed record and later evidence map.

Stored scoring profile
EndpointSSurrogate marker - laboratory or imaging measures
ReplicationR1Single confirmatory trial
IndependenceI1Mixed funding sources
Effect sizeEXThe clinical size of the effect could not be judged

Stored derived and displayed grades match; this is not a current recalculation or validity check (C).

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Sub-claim grades by effect

This ingredient is marketed for several effects. A single overall grade blends strong and weak claims together, so each effect is graded separately here. The overall grade reflects the strongest disconfirming or core claim.

Effect (sub-claim)GradeBasis
Intraoperative 2% hydrogen-peroxide cleansing increases 21-day graft-take area in chronic colonized burns.CMean take was 82.85% versus 65.61% in 49 patients, but assignment was fixed by side and no effect CI was reported.
Using the same treatment for routine home disinfection of ordinary wounds improves healing.?The study involved debridement, saline rinse, and immediate grafting of chronic burns, not ordinary home wound care.
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Cross-check — AI research and Codex final gate

AI was used for research and drafting. Blind grading, adversarial audit, and the methodology boundary rules were then reapplied before Codex performed the final evidence, grade, copy, and build checks. If a grade cannot be narrowed, both evidence positions and their reasons are published.
03

Evidence Table

StudyDesignSampleFundingEndpointResultWeight
Mohammadi et al., split-limb chronic-burn comparison 2013Prospective single-center within-person comparison with fixed right intervention and left control49 patients and 98 limbs analyzedFunding or acknowledgment text was not confirmedSurgeon-assessed percentage of graft take at 21 daysMean 82.85% versus 65.61%, difference 17.24 points, P<0.05; no SD, SE, mean-difference CI, or exact P value reportedOnly direct human study, but fixed-side nonrandomized assignment and a surrogate outcome
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Receipt — 2 References

All 2 cited sources were verified for existence at the original page (as of 2026-08-14).

Mohammadi AA, Seyed Jafari SM, Kiasat M, Pakyari MR, Ahrari I. Efficacy of debridement and wound cleansing with 2% hydrogen peroxide on graft take in the chronic-colonized burn wounds; a randomized controlled clinical trial. Burns. 2013;39(6):1131-1136. PMID: 23561480. DOI: 10.1016/j.burns.2013.01.019.
checked
Ziegler B, Fischer S, Pieper D, Mathes T, Kneser U, Hirche C. Evidence and Trends in Burn Wound Debridement: An Evidence Map. Plast Surg (Oakv). 2020;28(4):232-242. PMID: 33215038. PMCID: PMC7644827. DOI: 10.1177/2292550320928553.
checked
Research and draft: AI used · Cross-check: blind grading and adversarial audit
Final verification and publication gate: Codex · Evidence date: 2026-08-14 · Corrections: none
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Cite this verdict

2% hydrogen-peroxide cleansing x skin-graft take in chronic burns Evidence Grade C card
[Chamgap] 2% hydrogen-peroxide cleansing x skin-graft take in chronic burns — Evidence Grade C·46. 2 cited sources checked. Source: https://chamgap.com/en/verdicts/skin-hair/hydrogen-peroxide-chronic-burn-wound-skin-graft-take/ · CC BY 4.0

CC BY 4.0 — free to use with attribution; do not distort grades, numbers, or verdict meaning.

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What this document does and does not do

Chamgap is an information source. It reports what research has and has not confirmed; it does not tell readers what to take or buy. That decision belongs to readers and, when needed, medical or legal professionals. This verdict reflects literature available up to the search date and may change as new research appears. Nothing here is medical advice.
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