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Natu­rally Effec­tive? Urine as a disinfectant

Health tips from the internet can some­times take on surprising—and, frankly, some­what off-putting—forms. For example, when it comes to the medical use of urine, one can find remar­kably specific instructions:

  • Against tooth­ache and cavi­ties: “Rinse your mouth with fresh morning urine for at least three minutes and keep it in the oral cavity as long as possible.”
  • For middle ear infec­tions: “Let urine run into the ear canal and leave it there for 15 minutes.”
  • For skin impu­ri­ties or minor burns: “In the morning, after your normal facial clean­sing, wash your face with concen­trated morning urine and do not rinse it off for as long as possible.”

Behind such recom­men­da­tions lies a surpri­singly persis­tent myth: urine is a natural disin­fec­tant. In fact, it was already used for this purpose in ancient and medieval medicine.

Over­co­ming the disgust — is it worth it?

The idea that urine is sterile is now considered outdated. Modern micro­bio­lo­gical studies show that the human urinary tract does indeed have a bacte­rial colo­niza­tion. The supposed anti­septic thus turns out to be simply a bodily fluid which—like many others—can contain micro­or­ga­nisms and ther­e­fore has little place near wounds.

In addi­tion, urine consists mostly of water, along with a small percen­tage of elec­tro­lytes and meta­bolic waste products that the body is actively trying to elimi­nate. There is no convin­cing mecha­nism for an anti­septic effect.

If it burns, it must work against bacteria?

The fact that urine can sting on injured skin is some­times inter­preted as evidence of a “disin­fec­ting effect.” In reality, this is more likely due to its salt concen­tra­tion and slightly acidic pH.

In short: urine can sting—but not for the same reasons as an anti­septic, rather for roughly the same reasons as salt­water on an abrasion.

No — urine is not a disinfectant

Today, we have clean water, simple wound care, and sterile dres­sings. Urine-based appli­ca­tions ther­e­fore seem about as advi­sable as some other clas­sics of histo­rical medi­cine: blood­let­ting for fever, mercury treat­ments for syphilis, or leeches for nearly everything.

Nevert­heless, this old myth has still not been comple­tely eradicated.

Have you ever come across advice like this?

 

Morand A et al. Human Bacte­rial Reper­toire of the Urinary Tract: a Poten­tial Para­digm Shift. J Clin Micro­biol. 2019 Feb 27;57(3):e00675-18.