
Quick Summary:
Knowing the difference between primary and secondary dressings is key to understanding wound care. This blog goes over the differences between the two types of dressings and examples of primary and secondary dressings.
Introduction
A wound significantly disrupts skin integrity, increasing the chances of infection and pain if not properly managed. Understanding the difference between primary and secondary dressings and how to utilize them properly is vital for wound healing. The correct dressing makes all the difference in wound recovery and preventing unpleasant side effects.
Primary vs. Secondary Dressings: Knowing the Difference
Primary Dressings
The dressing that comes in contact with the wound bed1 and directly changes the wound.
Examples
- Hydrocolloids
- Absorbent foam
- Composite dressings
- Silver dressings
- Calcium alginate dressings
- Transparent films
- Antibacterial dressings
Used For: Primary wound healing, exudate management, keeping the wound clean
Secondary Dressings
An additional dressing that secures the primary dressing2 and/or adds extra absorption to the primary dressing. They do not come in contact with the wound.
Examples
Used For: Supporting the primary dressing, holding the primary in place, additional absorption, blocking out external contaminants, providing compression
Dressing Selection
Choosing the correct dressing is based on the characteristics of the wound; factors to consider3 are:
- Location
- Depth (extent of tissue damage)
- Size
- Healing phase
- Exudate levels
- Pain levels
- Odors
- Infection
A wound may need both primary and secondary dressings. This is especially true for wounds that have a lot of fluid. Consult a healthcare professional about dressing options and combinations to get the best healing results.


Conclusion
Primary and secondary dressings both serve important functions in helping a wound heal. Primary dressings directly interact with the wound, whereas secondary dressings support the primary dressing to aid recovery.
Footnotes
- 1 "Institute of Health and Biomedical Innovation." Promoting Healthy Skin: Champions for Skin Integrity.
- 2 "Sadiq, T. (2023, March 1)." Primary dressings V/s secondary dressings. Hpfy Shop WoundCare.
- 3 "Schneider, M. (2023, February)." Wound assessment and management. The Royal Children’s Hospital Melbourne.