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Biofilm

Polyhexamethylene biguanide and its antimicrobial role in wound healing: a narrative review

Subunit structure of polyhexamethylene biguanide (PHMB). Schematic structure of mono-protonated PHMB with chloride as counter-ion (a) and monomers: hexamethylenediamine (b) and sodium dicyanamide (c).

Cost-utility of a biofilm-disrupting gel versus standard of care in chronic wounds: a Markov microsimulation model based on a randomised controlled trial

Although there were a few VLUs in groups 1 and 2 and one PU in group 1, the differences in utility between unhealed and healed states are similar for these wounds compared to DFUs.17 (The difference...

Concurrent validity of biofilm detection by wound blotting on hard-to-heal wounds

This study showed concurrent validity with reference to native PAGE analysis for identifying and quantifying biofilm components through in vitro, in vivo and clinical investigations, as well as...

Development and assessment of a high-throughput biofilm and biomass testing platform

The 96-well plate biofilm method described here may provide an efficient and cost-effective high-throughput tool for studying biofilm formation, quantifying biofilm biomasses, testing antimicrobials...

A novel in vitro wound biofilm model used to evaluate low-frequency ultrasonic-assisted wound debridement

We have developed a novel in vitro wound biofilm model that mimics the non-surface attached spatial distribution of mature biofilms found in wounds. For this purpose, bacteria known to build biofilms...

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...

A narrative review of microbial biofilm in postoperative surgical site infections: clinical presentation and treatment

A microbial biofilm is an organised community of bacteria, enveloped within a self-produced matrix, that can attach, for example, to a wound surface (Fig 1).19 The formation of a differentiated,...

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...

The prevalence of biofilms in chronic wounds: a systematic review and meta-analysis of published data

Early publications providing evidence for the presence of biofilm in chronic wounds have provided guidance for clinicians and researchers alike.10,11,39 These studies identified that biofilms were...

Recommendations for the management of biofilm: a consensus document

There is more published evidence on the effectiveness of debridement in diabetic foot ulcers (DFUs) than for venous leg ulcers (VLUs) and pressure ulcers (PUs).8 After debridement, systemic...

Management of diabetic foot ulcers: evaluation of case studies

Patients with slow-healing, static, or deteriorating DFUs were selected by clinicians to take part in an evaluation of AQAg+. The clinicians were experienced in podiatry, and had previous experience...

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