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DC Field | Value | Language |
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dc.contributor.author | Murphy, Christine | - |
dc.contributor.author | Atkin, Leanne | - |
dc.contributor.author | Swanson, Terry | - |
dc.contributor.author | Tachi, Masahiro | - |
dc.contributor.author | Tan, Yih Kai | - |
dc.contributor.author | Vega de Ceniga, Melina | - |
dc.contributor.author | Weir, Dot | - |
dc.contributor.author | Wolcott, Randall | - |
dc.contributor.author | Ĉernohorskà, Júlia | - |
dc.contributor.author | Ciprandi, Guido | - |
dc.contributor.author | Dissemond, Joachim | - |
dc.contributor.author | James, Garth A. | - |
dc.contributor.author | Hurlow, Jenny | - |
dc.contributor.author | Làzaro Martínez, José Luis | - |
dc.contributor.author | Mrozikiewicz-Rakowska, Beata | - |
dc.contributor.author | Wilson, Pauline | - |
dc.date.accessioned | 2023-04-12T05:32:58Z | - |
dc.date.available | 2023-04-12T05:32:58Z | - |
dc.date.issued | 2020-03 | - |
dc.identifier.issn | 2052-2916 | en |
dc.identifier.uri | https://repository.southwesthealthcare.com.au/swhealthcarejspui/handle/1/3808 | - |
dc.description.abstract | The enormous health and financial burdens incurred by delayed wound healing—often uninspiringly termed ‘chronic wounds’—are acknowledged globally in research documents with alarming frequency. Affected individuals suffer increased pain and are vulnerable to recurrent infections, as they live with a health condition that is poorly understood by many healthcare providers. These wounds are commonly expected not to resolve. It might even be said this outcome is simply accepted. In recent years, evidence has been growing that a key pathology of non-healing wounds is biofilm, just like plaque in dental disease. In biofilm disorders, pain and infection increase the need for analgesics, opioids and antibiotics, making it highly desirable to address the pathology before the disease escalates. Biofilm management is vital, therefore, to achieving better outcomes and reducing the disease burden. Much like dental hygiene, wound hygiene aims to root out the cause of a common pathology in the global population. The concept of wound hygiene arose during an expert advisory board meeting held in early 2019. There, the international panel agreed that almost all hard-to-heal wounds contain biofilm, which delays or stalls healing. This led to the publication of an expert opinion article in JWC that posed the important question: is the current standard of care for wound management adequate, given what we now know about biofilm?1 There was a growing perception among the panel that wound care is in crisis. Perhaps it is. Globally, there is a perfect storm brewing in wound care: an ageing population; an increase in age- and lifestyle-associated conditions such as vascular disease, diabetes (which is pandemic) and obesity; economic strains in healthcare systems worldwide; overuse of antibiotics alongside increasing antibiotic resistance; and the ongoing severe impact of wounds on quality of life. Despite all the new products and best practices, the burden of wounds is not getting smaller. There is no magic recipe that rapidly improves non-healing wounds with consistent, reproducible results in all settings. It is clear that the puzzle is missing a piece. Evidence is mounting that this piece is biofilm management, which is increasingly recognised as a factor in a multitude of chronic disease conditions. It may be time to rethink what constitutes best practice, particularly in wounds that are colonised by biofilm or infected. At the expert advisory meeting, the panel discussed ways of embedding real change into generalist practice. Hence, it devised the concept of wound hygiene, which is based on the premise that, just as we follow basic hygiene everyday by washing our hands, brushing our teeth and showering to keep clean and ward off germs, so we should apply basic hygiene to wounds. The panel met in summer 2019 to discuss the structure and content of this concept, with a view to publishing a consensus document in JWC. The result is this publication, which defines wound hygiene, describes how it can help reduce antibiotic usage and advises how it can be implemented into day-to-day practice. The international panel recognises this might need to take into account local standards and guidelines. | en |
dc.subject | Biofilm | en |
dc.subject | Antibiofilm | en |
dc.subject | Wound Care | en |
dc.subject | Intervention | en |
dc.subject | Wound Hygiene | en |
dc.title | Defying hard-to-heal wounds with an early antibiofilm intervention strategy: wound hygiene | en |
dc.type | Journal Article | en |
dc.identifier.journaltitle | Journal of Wound Care | en |
dc.identifier.url | https://doi.org/10.12968/jowc.2020.29.Sup3b.S1 | en |
dc.description.affiliation | 1Vascular Nurse Specialist, The Ottawa Hospital Limb Preservation Centre, Ottawa, Canada. 2Vascular Nurse Consultant, Mid Yorkshire Hospitals NHS Trust and University of Huddersfield, UK. 3Nurse Practitioner, Wound Management, Warrnambool, Victoria, Australia. 4Professor, Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Tohoku University, Sendai, Japan. 5Director of Vascular Services, Consultant Vascular and Endovascular Surgeon, Changi General Hospital, Singapore. 6Consultant Angiologist, Vascular and Endovascular Surgeon, Galdakao-Usansolo Hospital, Bizkaia, Spain. 7Saratoga Hospital Center for Wound Healing and Hyperbaric Medicine, Saratoga Springs, New York, US. 8Southwest Regional Wound Care Center, Lubbock, Texas, US. 9Dermatologist, Dermal Centre, Mělník, Czech Republic. 10Chief Wound Care Surgical Unit, Division of Plastic and Maxillofacial Surgery, Bambino Gesù Children's Hospital, Research Institute, Rome, Italy. 11Professor of Dermatology and Venerology, University of Essen, Germany. 12Associate Research Professor of Chemical and Biological Engineering, Director, Medical Biofilms Laboratory, Center for Biofilm Engineering, Montana State University, Bozeman, Montana, US. 13Wound Specialized Advanced Practice Nurse, Advanced Wound Care, Southaven, Mississippi and West Memphis, Arkansas, US. 14Professor and Chief of Diabetic Foot Unit, Complutense University of Madrid, Spain. 15Associate Professor, Diabetology and Metabolic Diseases Department, Medical University of Warsaw, Warsaw, Poland. 16Clinical Specialist Podiatrist, St James's Hospital, Dublin, Republic of Ireland. | en |
dc.format.startpage | S1 | en |
dc.source.volume | 29 | en |
local.issue.number | Sup3b | en |
dc.format.pages | S1-S26 | en |
dc.identifier.importdoi | 10.12968/jowc.2020.29.Sup3b.S1 | en |
dc.identifier.date | 2020-03 | - |
dc.relation.url | Mag Online Library | en |
dc.contributor.swhauthor | Swanson, Terry | - |
dc.relation.department | Wound Care | - |
Appears in Collections: | SWH Staff Publications |
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