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Wound infection and biofilm is one of the most exciting yet controversial topics in chronic wound management. Recent advances in the understanding of wound infection pathogenesis have generated tremendous interest in biofilm and how it is related to wound healing. Differentiation of critical colonization, deep wound infection, and biofilm is a challenging, but important, task. It is generally accepted that topical antimicrobial agents should be considered for localized wound infection and systemic agents are introduced for wound infection that involves soft tissue. Despite existing guidelines, only half of patients with diabetic foot ulcers received appropriate antibiotic therapy for the treatment of infection. Surgical site infection is a growing concern in the community. With the advent of a plethora of topical antimicrobial agents that have been developed in the last decades, clinicians are now challenged with decisions of when and what antimicrobial agents to use. According to results of the recent quick poll on this website, the majority of the readers agreed that general clinicians do not have adequate knowledge to manage wound infection. Researchers at Queen’s University School of Nursing in Kingston, Ontario, Canada recently surveyed 80 physicians and identified a significant knowledge gap in wound management, especially around wound infection and biofilm. There is a need to enhance the knowledge and build capacity for physicians to assess and treat wound infection and biofilms. It is very encouraging to observe that almost all respondents also acknowledged their roles in wound care and expressed a keen interest to further their knowledge.
Kevin Y. Woo, PhD, RN, ACNP, GNC(C), FAPWCAKevin Y. Woo, PhD, RN, ACNP, GNC(C), FAPWCA, is Assistant Professor, School of Nursing, Faculty of Health Sciences, Queen's University, Kingston, Ontario, Canada; Adjunct Research Professor, MClSc Program, School of Physical Therapy, and Faculty of Health Sciences, Western University, London, Ontario; Wound Care Consultant, West Park Healthcare Centre, Toronto, Ontario, and Clinical Web Editor, Advances in Skin & Wound Care.
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