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Dressings can also regulate the chemical environment of a wound, usually with the aim of preventing infection by the impregnation of topical antiseptic chemicals. Commonly used antiseptics include povidone-iodine, boracic lint dressings or historically castor oil. [5] Antibiotics are also often used with dressings to prevent bacterial infection.
The adoption of moist wound dressing technique as recommended best wound dressing practice reflected a large advance in approach producing markedly superior clinical outcomes. This dawn of modern wound care treatment initiated a process of improvement in the clinician's ability to bolster wound-site re-epithelialization and healing.
Timing is important to wound healing. Critically, the timing of wound re-epithelialization can decide the outcome of the healing. [11] If the epithelization of tissue over a denuded area is slow, a scar will form over many weeks, or months; [12] [13] If the epithelization of a wounded area is fast, the healing will result in regeneration.
The dressings used for the technique include foam dressings and gauze, sealed with an occlusive dressing intended to contain the vacuum at the wound site. [1] Where NPWT devices allow delivery of fluids, such as saline or antibiotics to irrigate the wound, intermittent removal of used fluid supports the cleaning and drainage of the wound bed. [6]
Ideally, wound dressings should be changed daily to promote a clean environment and allow for daily evaluation of wound progression. Highly exudative wounds and infected wounds should be monitored closely and may require more frequent dressing changes. [33] Negative pressure wound dressings can be changed less frequently, every 2–3 days. [42]
The adhesive bandage protects the wound and scab from friction, bacteria, damage, and dirt. Thus, the healing process of the body is less disturbed. Some of the dressings have antiseptic properties. An additional function is to hold the two cut edges of the skin together to make the healing process faster. [1]
These dressings are generally made with a waxy coating so as to provide a total seal, and as a result do not have the absorbent properties of gauze pads. They are typically used to treat open, or "sucking," chest wounds ( open pneumothorax ) to prevent a tension pneumothorax (a serious complication of a simple pneumothorax).
Hydrocolloid dressings are used to treat uninfected wounds. [6] Dressings may be used, under medical supervision, even where aerobic infection is present; the infection should be treated appropriately. [citation needed] The dressing is applied to a cleaned wound. Hydrocolloid patches are sometimes used on the face for acne.
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