In this review although all trials used some type of water only three trials (Goldberg 1981; Riederer1997;Neues2000)used showering as a method to cleanse wounds. While the findings of this review do not indicate adverse effects from the use of tap water, practitioners and health service managers should interpret the findings with caution as most of the comparisons were based on single trials, some of which do not report the methodology in sufficient detail to enable assessment of quality.