For exudate management in the periwound area, which intervention is appropriate?

• A. Increase the frequency of dressing changes
• B. Use of dressing material with more absorbing capacity
• C. Use of Dakin's solution for cleaning
• D. Use of sterile cotton-tipped applicator

Answer: (A)

Managing exudate around the wound focuses on moving excess fluid away from the wound and its edges so the surrounding skin isn’t kept in a constantly damp environment. When the periwound skin stays wet from exudate, it can become macerated, weakened, and more prone to breakdown and infection. The most direct way to prevent this is to change the dressing more often, so exudate doesn’t sit on the skin and the barrier function of the surrounding tissue is preserved. This approach acts immediately on moisture control at the periwound, promoting skin integrity while still supporting a healthy wound environment.

Cleaning with Dakin’s solution is not routinely appropriate for periwound care because it can be cytotoxic and irritating to healthy tissue, potentially harming viable skin around the wound rather than helping it. Using a sterile cotton-tipped applicator is not ideal either because fibers can leave debris or lint and may irritate or traumatize the periwound skin. If cleansing is needed, gentle saline and careful technique are preferred.