Journal of the American College of Certified Wound Specialists
Volume 1, Issue 4 , Pages 109-113 , December 2009

Why “Wet to Dry”?

  • Cynthia A. Fleck, BSN, MBA, RN, ET/WOCN, CWS, DNC, CFCN, FACCWS

      Affiliations

    • Past president and chairman of the board of directors of the American Academy of Wound Management (AAWM), member of the board of directors of the Association for the Advancement of Wound Care (AAWC), and vice president, Clinical Marketing for Medline Advanced Skin and Wound Care
    • Corresponding Author InformationCorresponding author.

References 

  1. Mc Callon ST, Knight CA, Valiulus P, et al. Vacuum-assisted closure versus saline-moistened gauze in the healing of postoperative diabetic foot wounds. Ostomy/Wound Management. 2000;46(8):28–34
  2. Ovington LG. Hanging wet-to-dry dressings out to dry. Home Health Nurse. 2001;19(8):1–11
  3. Bolton LL, Monte K. Moisture and healing beyond the jargon. Ostomy Wound Manage. 2000;46(1A):51S–62S
  4. Bryant RA. Acute and Chronic Wounds. 2nd ed.. St. Louis, MO: Mosby; 2000;
  5. Kirsner R. Wound bed preparation. Ostomy/Wound Management. 2003;49(2A):2–3
  6. Bergstrom N, Bennett M, Carlson CE, et al. Treatment of pressure ulcers. Clinical practice guidelines (15). Public Health Service Agency for Health Care Policy and Research; 1994. Rockville, MD, Publication # 95-652.
  7. Winter GD, Scales JT. Effect of air exposure and occlusion on experimental human skin wounds. Nature. 1963;197:91
  8. Hinman CD, Maibach HI. Effect of air exposure and occlusion on experimental human skin wounds. Nature. 1963;200:377
  9. Winter GD. Formation of the scab and the rate of epithelialization of superficial wounds in the skin of the young domestic pig. Nature. 1963;193:293–294
  10. Winter GD, Scales JT. The effects of air-drying and dressings on the surface of the wound. Nature. 1963;197:91–92
  11. Department of Health and Human Services, Centers for Medicare and MedicaidServices. CMS Manual System Pub. 100–007 State Operations Provider Certification. November 12, 2004. Available at http://www.cms.hhs.gov/manuals/pm_trans/r4SOM.pdf. Date accessed August 2009.
  12. Fleck CA. New pressure ulcer guidelines. ECPN. January/February 2005;37–42
  13. American Medical Directors Association. Pressure Ulcers in the Long-Term Care Setting Clinical Practice Guideline. Columbia, MD: American Medical Directors Association; 2008;
  14. Lawrence JC. Dressings and wound infection. Am J Surg. 1994;167(1A):21S–24S
  15. Spear M. Wet-to-dry dressings—evaluating the evidence. Plast Surg Nurs. 2008;28(2):92–95
  16. Ovington LG. Hanging wet-to-dry dressings out to dry. Home Healthcare. 2001;19(8):477–483
  17. Sibbald RG, Williamson D, Orsted HL, et al. Preparing the wound bed: Debridement, bacterial balance and moisture balance. Ostomy Wound Manage. 2000;46(11):14–35
  18. Lim JK, Saliba L, Smith MJ, McTavish J, Raine C, Curtin P. Normal saline wound dressing—Is it really normal?. Br J Plast Surg. 2000;53:42–45
  19. Lawrence JC, Lilly HA, Kidson A. Wound dressing and airborne dispersal of bacteria. Lancet. 1992;339(8796):807
  20. Armstrong MH, Price P. Wet-to-dry dressings: Fact and fiction. Wounds. 2004;16(4):56–62
  21. Capasso VA, Munro BH. The cost and efficacy of two wound treatments. AORN journal. 2003;77(5):984–992
  22. Colwell JC, Foreman MD, Trotter JP. A comparison of the efficacy and cost effectiveness of two methods of managing pressure ulcers. Decubitus. 1993;6(4):28–36
  23. Moffat CJ, Franks PJ, Hollinworth H. Pain at wound dressing changes, European Wound Management Association Position Document. London, UK: Medical Education Partnership Ltd.; 2002;2
  24. Coyne N. Eliminating wet-to-dry treatments. Remington Report. September/October 2003;(sup):8–11
  25. Armstrong MH, Price P. Wet-to-Dry gauze dressings: fact and fiction. Wounds. 2004;16(2):56–62
  26. Bruggisser R. Bacterial and fungal absorption properties of a hydrogel dressing with a superabsorbent polymer core. J Wound Care. 2005;14(9):1–5
  27. Eming S, Smola H, Hartmann B, et al. The inhibition of matrix metalloproteinase activity in chronic wounds by a polyacrylate superabsorber. Biomaterials. 2008;29:2932–2940
  28. Fleck CA, Chakrararthy D: Continuous debridement options in wound bed preparation—examining the “D” in the D.I.M.E.S. wound bed preparation model. Adv Skin Wound Care (in press).
  29. Coyne N. Eliminating wet-to-dry treatments. Remington Report. September/October 2003;8S-11S
  30. Konig M, Vanscheidt W, Augustin M, Kapp H. Enzymatic versus autolytic debridement of chronic leg ulcers: a prospective radomised trial. J Wound Care. 2005;14(7):320–323
  31. Paustian C, Stegman MR. Preparing the wound for healing: the effect of activated polyacrylate dressing on debridement. Ostomy/Wound Manage. 2003;49(9):35S–42S
  32. Lawrence JC, Lilly HA, Kidson A. Wound dressing and airborne dispersal of bacteria. Lancet. 1992;339(8796):807
  33. Flemister B. The use of a superabsorbent wound dressing pad for interactive moist wound healing. Paper presented at: 13th Annual Symposium on Advanced Wound Care, April 1-4, 2000; Dallas, TX.
  34. Paustian C, Stegman MR. Preparing the wound bed for healing: The effect of activated polyacrylate dressing on debridement. Ostomy/Wound Manage. 2003;49(9):34–42
  35. Bruggisser R. Bacterial and fungal absorption properties of a hydrogel dressing with a superabsorbent polymer core. J Wound Care. 2005;14(9):438–442

PII: S1876-4983(09)00121-0

doi: 10.1016/j.jcws.2009.09.003

Journal of the American College of Certified Wound Specialists
Volume 1, Issue 4 , Pages 109-113 , December 2009