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

Which type of dressing should not be used with enzymatic debridement?

1. Moisture-retentive dressings

2. Hydrocolloid dressings

3. Antimicrobial dressings

4. Foam dressings

The correct answer is: Antimicrobial dressings

Enzymatic debridement involves the use of enzymes to promote the breakdown of necrotic tissue, making the selection of an appropriate dressing important for optimal effectiveness. Antimicrobial dressings can inhibit the activity of these enzymes, potentially neutralizing their intended effects and interfering with the debridement process. The presence of antimicrobial agents may create an environment that is less conducive for the enzymatic action, thereby reducing the efficiency of wound healing and debridement. Moisture-retentive dressings, hydrocolloid dressings, and foam dressings can provide a conducive environment for enzymatic debridement by maintaining moisture levels and supporting the healing process without compromising the action of the enzymes. This allows for proper autolytic debridement and helps facilitate healing without the interference caused by antimicrobial properties. Therefore, it is essential to avoid antimicrobial dressings when utilizing enzymatic debridement to ensure the efficacy of the treatment.