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Updated: Jun 27, 2026

Swine Model of Biofilm Infection and Invisible Wounds
Published on: June 16, 2023
Does moist wound healing influence the rate of infection?
1Independent Specialist Nurse, England.
Background:
Wound infections account for 9% of all healthcare-associated infection. Traditional wound dressings have been shown to give limited protection against microbes in comparison with modern dressings, yet they remain the main dressings of choice. While modern dressings facilitate a moist wound healing environment, which may increase the rate of healing, there is growing concern that it will increase the rate of infection.
Aim:
To review the evidence relating to moist wound healing and its influence on infection rates.
Method:
Fourteen studies were reviewed from 36 studies found. Methodological issues identified included: differences in the measurement of wound infection, small sample groups, inappropriate dressing selection and limited comparability between studies.
Conclusion:
The rate of wound infection was not increased with the use of modern dressings when compared with traditional dressings. No statistical significance was found to suggest there were fewer infections under the modern dressings. The barrier effect of some dressings cannot be generalized to include all modern dressings.
Insights
Modern wound dressings do not increase infection rates compared to traditional ones. Evidence suggests no significant difference in infection rates, challenging concerns about moist wound healing environments.
Area of Science:
- Healthcare-associated infections
- Wound healing
- Infection control
Background:
- Wound infections represent 9% of all healthcare-associated infections.
- Traditional wound dressings offer limited microbial protection but remain widely used.
- Modern dressings promote moist wound healing, raising concerns about potential infection increases.
Purpose of the Study:
- To review existing evidence on moist wound healing and its impact on infection rates.
- To compare infection rates between modern and traditional wound dressings.
Main Methods:
- A systematic review of 14 studies was conducted from an initial pool of 36.
- Identified methodological limitations include varied infection measurement, small sample sizes, and inconsistent study designs.
Main Results:
- No increase in wound infection rates was observed with modern dressings compared to traditional ones.
- Statistical analysis did not reveal a significant reduction in infections when using modern dressings.
- The protective barrier effect of modern dressings is not universally applicable to all types.
Conclusions:
- Modern wound dressings are not associated with increased infection rates in wounds.
- Current evidence does not statistically support modern dressings as superior in preventing infections.
- The effectiveness of modern dressings as a microbial barrier varies and cannot be generalized.
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