Wet-to-dry dressings

I've been taught that wet to dry dressings are not good for two reasons. 1. They do not always provide the moist environment that is needed for wound healing. 2. They are not very good at debridement because you usually have to wet them before you can take the gauze off. Wound gels like solosite are good and hydrogel does an excellent job of keeping wounds moist. For debriding we use a lot of Accuzyme and Collagenase.

I work on a wound care floor in a hospital... we see a lot of use of the debriding agents and not so much wet to dry. Used to use a lot of accuzyme but I am pretty sure its been taken off the market a couple of months ago. Most of the time however if we are seeing the patient in the hospital its so they can have some sort of surgical debridement, and then they get a VAC.