Table 7.3Dressings used in the management of atopic eczema

Type of dressingMethod used
Dry wrap dressingsOpen-weave tubular bandage or crepe bandage used as a protective dressing, e.g. to keep greasy moisturisers in place.
Wet wrappingTwo layers of open-weave tubular bandage applied over topical preparations. The bottom layer is soaked in warm water, squeezed out and then put onto the skin over the topical preparation wet and the top layer is dry. They can be worn under nightwear or ordinary clothes and used during the day or night. Wet wraps are available in bandage form or garments.
Occlusive/semi- occlusive dressingsThese include vapour-permeable films and membranes and hydrocolloid dressings.
They can be used over topical preparations. Nappies, sleep suits and pyjamas may also have an occlusive effect and enhance skin penetration of topical preparations.
Medicated bandagesCotton bandages impregnated with a variety of therapeutic substances such as tar or ichthammol. The bandages are usually applied over topical preparations in a spiralling and pleated fashion in the direction of venous return. A layer of self-gripping, elasticised, non-adhesive bandage is usually needed over the bandage (topical preparation) to keep it in situ.
The bandages can only be used on the limbs. They cannot be applied to the trunk and face as they may tighten as they dry.

From: 7, Treatment

Cover of Atopic Eczema in Children
Atopic Eczema in Children: Management of Atopic Eczema in Children from Birth up to the Age of 12 Years.
NICE Clinical Guidelines, No. 57.
National Collaborating Centre for Women's and Children's Health (UK).
London: RCOG Press; 2007 Dec.
Copyright © 2007, National Collaborating Centre for Women’s and Children’s Health.

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