Which intervention is appropriate for managing periwound exudate in a chronic wound?

• A. Increase the frequency of dressing change
• B. Use of Dakin's solution for cleaning the wound
• C. Use of sterile cotton-tipped applicator
• D. Use of petrolatum-based skin protectant

Answer: (A)

Managing periwound exudate is all about controlling moisture around the wound so the surrounding skin stays healthy while the wound heals. Excess exudate can macerate the skin, leading to breakdown and slower healing. Increasing how often the dressing is changed is the most direct way to remove this excess fluid promptly, helping to keep the periwound dry enough to protect integrity and support healing. When you change the dressing more frequently, you can also use an appropriately absorbent dressing that matches the wound’s exudate level, balancing moisture without leaving the edge soggy.

Dakin’s solution is a strong antiseptic that can be cytotoxic to healthy tissue, so it’s not appropriate for routine exudate management in chronic wounds. A sterile cotton-tipped applicator can irritate or traumatize the wound and periwound skin and isn’t a controlled method for managing exudate. A petrolatum-based skin protectant can shield skin but does not remove exudate and may hinder moisture management if exudate persists.