| Clinical experience with wound biofilm and management: a case series. | |
| | |
MedLine Citation:
|
PMID: 19387095 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Biofilm is a relatively new concept in the fields of infectious disease, wound infection, and healing. Although scientific research and "noise" regarding wound biofilm is increasing, little is known about the presentation, diagnosis, potential implications, and management strategies regarding wound biofilms. A series of four clinical cases is utilized to demonstrate the existence of wound biofilm. All patients presented with or developed a film on the wound bed that appeared to be distinct from slough; wounds also were failing to progress. Although the slough in some of the wounds was easily removed with traditional debridement methods, removal of the film required physical disruption with a curette or dry gauze. All wounds eventually progressed to healing. Considering the biofilm concept and available preclinical research, it is evident from this small case series that the appearance of biofilm in wounds is quite different from slough and requires different management strategies for its control. The evolving biofilm paradigm could profoundly change approaches to wound management. Additional research is needed in this evolving aspect of wound management. |
| | |
Authors:
|
Jennifer Hurlow; Philip G Bowler |
Related Documents
:
|
3112415 - Technique of postoperative pelvic radiation in the management of rectal and rectosigmoi... 21922065 - Topiramate-induced dissociative disorder. 9887735 - Exudate management in fungating wounds. 17914145 - Maggot debridement therapy in chronic wound care. 12512265 - Facemask, nasal, and oral airway devices. 22310445 - Management guidelines for acute infective diarrhoea / gastroenteritis in infants. |
Publication Detail:
|
Type: Case Reports; Journal Article; Review |
Journal Detail:
|
Title: Ostomy/wound management Volume: 55 ISSN: 0889-5899 ISO Abbreviation: Ostomy Wound Manage Publication Date: 2009 Apr |
Date Detail:
|
Created Date: 2009-04-23 Completed Date: 2009-07-29 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8912029 Medline TA: Ostomy Wound Manage Country: United States |
Other Details:
|
Languages: eng Pagination: 38-49 Citation Subset: N |
Affiliation:
|
ConvaTec, Wound Therapeutics Global Development Centre, Deeside, Flintshire, UK. phil.bowler@convatec.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Aged, 80 and over Alginates / therapeutic use Anti-Bacterial Agents / therapeutic use Bandages Biofilms / growth & development* Chronic Disease Debridement / instrumentation, methods*, nursing Disease Progression Exudates and Transudates Female Humans Humidity Male Middle Aged Nursing Assessment Skin Care / methods*, nursing Wound Healing / physiology* Wound Infection* / diagnosis, microbiology, prevention & control |
| Chemical | |
Reg. No./Substance:
|
0/Alginates; 0/Anti-Bacterial Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Deep tissue injury from a bioengineering point of view.
Next Document: Reducing pressure ulcer prevalence rates in the long-term acute care setting.