Hydrofiber Foam vs. Alginate Dressings: A Systematic Review of Wound Healing Outcomes

Abstract

Wound healing is a complex physiological process requiring moisture balance, exudate control, and infection prevention. Advanced dressings such as alginate and hydrofiber foams are widely used in clinical practice for acute and chronic wounds. Alginate dressings have long been valued for their hemostatic properties and effectiveness in managing highly exudative wounds, while hydrofiber foams represent a newer innovation designed to optimize moisture retention, promote autolytic debridement, and reduce pain during dressing changes. This systematic review critically evaluates clinical evidence comparing alginate and hydrofiber foam dressings, focusing on wound healing efficiency, infection control, patient comfort, and cost-effectiveness. Evidence shows that while both dressings support wound healing, hydrofiber foams demonstrate superior exudate handling, longer wear time, and reduced pain. Alginate dressings remain preferable in wounds requiring strong hemostatic support. Dressing choice should therefore be individualized based on wound type and patient needs.