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Practice

Assessment and management of chronic wounds

The concept of biofilm in human health and disease is now universally accepted.7 Biofilms are communities of bacteria, that have diverse characteristics, these include communication with other...

Disrupting the biofilm matrix improves wound healing outcomes

Existing technologies directed to the treatment of biofilms are intended to either penetrate the EPS that encapsulates the bacteria in a biofilm, or use dispersing agents, which typically target a...

Early wound infection identification using the wire tool in community health-care settings: an audit report

Wound infection is defined as the presence of microbes in the wound, which multiply and cause a host reaction either locally, in surrounding tissues, or systemically.6 This host reaction is manifested...

Biofilm-based wound care: the importance of debridement in biofilm treatment strategies

Biofilms are now a major area of research for both clinicians and scientists. This research has increased significantly in the past decade due to advancements in emerging technologies and techniques...

Cleansing Versus Tailored Deep Debridement, a Fresh Approach to Wound Cleansing: an Italian experience

‘Today, debridement refers to deeply removing adherent, dead or contaminated tissue from a wound and must be clearly separated from the act of cleansing, defined as the removal of dirt (loose...

Evidence Generation for Wound Care Dressing Selection: reviewing the issues

Consequently, many wound care studies are of small scale and observational, constituting an immature body of knowledge with little transferability potential..

Securing cellular and tissue-based products using a soft silicone wound contact layer

After applying a CTBP, as per manufacturer recommendation, to a variety of wound aetiologies and locations, a soft silicone wound contact layer was applied over the CTBP with overlap extending at...

Effect of continuous diffusion of oxygen on pain in treatment of chronic wounds

Comparison of oxygen delivery therapies (not shown to scale). Hyperbaric oxygen treatment is given in a high-pressure chamber delivering 90 minutes of oxygen per day, five days per week. Topical...

Wound healing outcomes in a diabetic foot ulcer outpatient clinic at an acute care hospital: a retrospective study

A retrospective chart review of patients with DFUs who attended the FTA clinic at a large, inner-city, tertiary care, academic hospital between January 2008 and January 2013 was conducted. Patients...

Fungating Wounds: management and treatment options

The location of fungating wounds can vary widely and the most common site is the breasts.12 In women fungating wounds often occur in the chest, where breast tumours have metastasised. In men fungating...

Managing the nutritional needs of palliative care patients

There are a number of factors that can affect the nutritional status of palliative patients and these vary according to their diagnosis. Although palliative patients are a heterogeneous group,...

Malignant tumours arising in chronic leg ulcers: three cases and a review of the literature

Malignant transformation is a rare and often misdiagnosed complication of chronic leg ulcers..