Which dressing is appropriate for an open abdominal wound when local protocols permit?

Which dressing is appropriate for an open abdominal wound when local protocols permit?

• A. Dry gauze only
• B. Occlusive dressing
• C. Adhesive bandage
• D. Coban wrap

Answer: (B)

An occlusive dressing provides a non-porous barrier that protects an open abdominal wound from contamination while helping maintain a moist environment that supports safer healing. By sealing the wound, it reduces the risk of bacteria entering and minimizes fluid loss, which is especially important with exposed tissue. A dry gauze alone leaves the wound exposed to air and contaminants, increasing infection risk and drying of tissue. An adhesive bandage is too small to cover such a wound and won’t control drainage. Coban wrap is a securing material, not a primary dressing for an open wound. When local protocols permit, layering sterile gauze over the wound and applying an occlusive cover is the best approach.

An occlusive dressing provides a non-porous barrier that protects an open abdominal wound from contamination while helping maintain a moist environment that supports safer healing. By sealing the wound, it reduces the risk of bacteria entering and minimizes fluid loss, which is especially important with exposed tissue. A dry gauze alone leaves the wound exposed to air and contaminants, increasing infection risk and drying of tissue. An adhesive bandage is too small to cover such a wound and won’t control drainage. Coban wrap is a securing material, not a primary dressing for an open wound. When local protocols permit, layering sterile gauze over the wound and applying an occlusive cover is the best approach.