What is an alginate dressing used for?

Alginates are seaweed-based dressings that form a gel, help stop bleeding, and are used for wounds producing moderate to heavy fluid. They can turn yellow or brown, which is easily mistaken for pus.

An alginate is a dressing made from seaweed. In this seaweed-based dressing, calcium ions are swapped for sodium ions, which turns the dressing into a gel.

What it does well: alginate is highly porous, and the calcium ions have hemostatic properties — meaning they help stop bleeding. It is used for moderate to heavy exudative wounds, meaning wounds producing a lot of fluid, with changes every one to three days.

There is one thing about alginates worth knowing before you see it, because it alarms people who don’t expect it. The dressing may change to a yellow or brown color, which can be mistaken for purulence — that is, mistaken for pus.

That is a dressing changing color as it does its job, not a wound producing pus. The two can look similar. If you are unsure which you are looking at, that is a reasonable thing to ask about rather than to judge alone. The signs that actually point to infection are covered in the Wound Wizard pages on that subject.

The other drawbacks are simple: the dressing may stick to the wound bed when dried, it has an unpleasant odor, and it needs a second dressing over the top to keep it from drying out.

Alginates are not for minimally exudative wounds — wounds that are not producing much fluid.

Whether any of this describes your wound is not something this page can tell you. The choice of dressing, and the schedule for changing it, belongs with the clinician treating the wound.

What to watch for

An alginate dressing can change to a yellow or brown color that may be mistaken for pus. A dressing changing color is not the same as a wound producing pus, and telling them apart takes an exam.

Alginates are not for wounds that produce little fluid, and the dressing may stick to the wound bed when dried.

Talk with your provider about what type of dressing to use.

Wound Wizard is general education and can’t assess your wound or your situation. Your own clinician is the right person to ask about your wound.

What we look at

  • Assessing how much fluid the wound produces
  • Deciding whether an alginate suits that amount
  • Distinguishing dressing discolouration from infection
  • Setting how often it should be changed

Sources

  1. Wound Dressings — StatPearls, NCBI Bookshelf, U.S. National Library of Medicine https://www.ncbi.nlm.nih.gov/books/NBK470199/
  2. How to care for pressure sores — MedlinePlus, U.S. National Library of Medicine https://www.medlineplus.gov/ency/patientinstructions/000740.htm
  3. Wound Q&A for patients and relatives — European Wound Management Association https://ewma.org/resources-for-patients-private-carers/wound-qa-for-patients-and-relatives/