IWII Wound Infection in Clinical Practice consensus document: 2022 update

Abstract

Wound infection is a major challenge for clinicians globally, with accurate and timely identification of wound infection being critical to achieving clinical and cost-effective management, and promotion of healing. This paper presents an overview of the development of the International Wound Infection Institute (IWII)'s 2022 Wound Infection in Clinical Practice consensus document. The updated document summarises current evidence and provides multidisciplinary healthcare providers with effective guidance and support on terminology, paradigms related to biofilm, identification of wound infection, wound cleansing, debridement and antimicrobial stewardship. Integral to the update is revision of wound infection management strategies which are incorporated within the IWII's Wound Infection Continuum (IWII–WIC) and management plan. The aim of the 2022 IWII consensus document update was to provide an accessible and useful clinical resource in at least six languages, incorporating the latest evidence and current best practice for wound infection and prevention. Dissemination techniques for the consensus are discussed and highlighted.

Wound Dressing Modifications for Accelerated Healing of Infected Wounds

“…Contamination that is characterized by a low level of non-proliferating microorganisms. Natural flora, which are typical in this stage of wound contamination, fail to induce the immune response or do not delay healing [ 37 ].…”

“…Colonization that is also characterized by no immune response and normal healing without any delay. The bacteria possess a limited proliferation rate; nevertheless, antimicrobials are not necessary at this stage [ 37 ].…”

“…Local infections that appear when bacteria start to proliferate faster, penetrate deeper into the wound, and begin to initiate host response. This stage is characterized by subtle symptoms and requires medical intervention to stop the development of more serious infection [ 37 ].…”

A Review in the View on Wounds

“…In some cases, hyperglycemia induced after surgery due to the stress of surgery and anesthesia which antagonize endocrine responses to insulin (18). A good care of wound are require to management wound and its environment to improve host defense and response especially in patient with high risk factor of getting wound infection (19,23).…”

A View on Polymer-Based Composite Materials for Smart Wound Dressings

“…The choice of the most adequate dressing is influenced by the aetiology, specific characteristics of the wound bed, type of tissue present, odour, infection signals and amount of exudation [31,32]. There is a considerable number of different dressings and techniques available for managing wounds according to its characteristics (Table 1).…”