Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

What is an important consideration when treating infected wounds with NPWT?

1. Using a gold-plated dressing

2. Treating the infection prior to NPWT

3. Using an antibiotic infusion

4. Allowing the wound to heal spontaneously

The correct answer is: Treating the infection prior to NPWT

Treating the infection prior to initiating Negative Pressure Wound Therapy (NPWT) is crucial because NPWT can create an optimal environment for wound healing, but it does not directly address existing infections. Before applying NPWT, it is essential to ensure that the infection is properly managed to avoid exacerbating the condition. When infections are present, they can impede the healing process and lead to complications. Effective infection management may involve the use of appropriate antibiotics, debridement of necrotic tissue, or other interventions to control the infection and create the best possible conditions for NPWT to promote healing. Once the infection is treated, NPWT can enhance granulation tissue formation, reduce edema, and improve blood flow to the wound area, all of which are beneficial in the healing process. In contrast, other options, such as using specialized dressings or allowing wounds to heal spontaneously, do not directly address the necessity of managing infection before employing NPWT. Antibiotic infusion might support treatment, but it does not replace the need to first control the wound infection. Hence, addressing the infection before NPWT is vital for effective wound care management.