Is low molecular weight polyethylene glycol used for decontamination of dermal phenol exposures?

Author Department

Emergency Medicine

Document Type

Article, Peer-reviewed

Publication Date

12-2025

Abstract

Dermal phenol exposures have the capacity to cause extensive chemical burns and systemic toxicity. Decontamination with low molecular weight (300-400 MW) polyethylene glycol (LMW-PEG) is recommended, but it is unclear if LMW-PEG is readily accessible. Our aim was to identify dermal exposures of phenol that were reported to a regional poison center and describe the types of decontamination agents used. We performed a a retrospective study of phenol exposures reported to a single poison center from 2002-2025. Dermal decontamination was performed in 14/17 (82%) of cases, utilizing LMW-PEG in 0/14 (0%), water in 7/14 (50%), high molecular weight PEG (HMW-PEG) in 1/14 (7%), both water and HMW-PEG in 5/14 (36%), and water and isopropanol in 1/14 (7%). No systemic toxicity was reported. Our findings suggest alternative measures such as water or HMW-PEG are effective for decontamination of dermal phenol exposures.

Keywords: dermal decontamination; low molecular weight – polyethylene glycol; phenol; poison center.

PMID

41396257

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