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Methods A structured narrative review methodology was employed: Primary sources: International guidelines (NPIAP/EPUAP/PPPIA 2019 & 2026 updates) Secondary sources: Systematic reviews and meta-analyses (Cochrane Library, PubMed) Clinical studies: Randomized controlled trials and prospective cohort studies Supplementary analysis: Biomechanical and translational wound healing literature Search strategy included terms such as: stage-specific pressure ulcer dressing. foam vs hydrocolloid pressure injury. pressure ulcer infection management. Evidence was stratified according to established hierarchies, with guideline-based recommendations prioritized