Wound dressing

A dressing is a sterile pad or compress applied to a wound to promote healing and/or prevent further harm. A dressing is designed to be in direct contact with the wound, as distinguished from a bandage, which is most often used to hold a dressing in place. Some organizations classify them as the same thing (for example, the British Pharmacopoeia) and the terms are used interchangeably by some people. Dressings are frequently used in first aid and nursing.

Wound Dressing Classification

Wound dressings can be classified based on their function, composition, and clinical indication.

  • Function: Protect and cover the wound.
  • Examples: Gauze, tulle gras.
  • Indication: Superficial wounds with minimal exudate.
  • Function: Maintain moist wound environment, promote healing.
  • Examples:
    • Hydrocolloids (e.g., Duoderm)
    • Hydrogels (e.g., Intrasite)
    • Alginates (e.g., Kaltostat)
    • Foams (e.g., Mepilex)
  • Indication: Moderate to heavily exuding wounds, pressure ulcers, diabetic ulcers.
  • Function: Deliver therapeutic agents (antimicrobial, growth factors).
  • Examples:
    • Collagen-based
    • Silver or iodine dressings
    • Tissue-engineered skin substitutes
Type Description Examples
Gauze Cotton-based, absorbent Sterile gauze
Hydrocolloid Gel-forming agents with adhesive backing Duoderm, Comfeel
Hydrogel High water content; cooling and soothing Intrasite, Aquagel
Foam Polyurethane, absorbent and cushioning Allevyn, Mepilex
Alginate Seaweed-derived; forms gel on contact with exudate Kaltostat, Algisite
Silicone Non-adherent, gentle on skin Mepitel, Biatain Silicone
Film Transparent, semi-permeable Tegaderm, Opsite
Antimicrobial Impregnated with silver, iodine, or PHMB Acticoat, Iodoflex
Collagen Promotes tissue regeneration Promogran, Fibracol
  • Dry wounds → Hydrogel (adds moisture)
  • Moderate/heavy exudate → Foam, alginate
  • Infected wounds → Silver or iodine dressings
  • Necrotic wounds → Hydrogel (autolytic debridement)
  • Postoperative wounds → Film, hydrocolloid
  • Burns or fragile skin → Silicone mesh, hydrogel
  • wound_dressing.txt
  • Last modified: 2025/06/12 10:29
  • by administrador