Physicians' knowledge and attitudes in the management of wound infection

Abstract

Despite consensus on the assessment and management of wound infection, there exist deficiencies in its recognition and management. A survey study involving 85 physicians and 3 other clinicians from across Canada was completed to determine current knowledge and attitude towards learning about topics relating to wound infection and its management. The results of the survey describe knowledge gaps and interests to develop expertise in the management of wound infection, suggesting a need for education on this subject. Low levels of current knowledge were reported for all biofilm-related topics.

Clinician perceptions of wound biofilm

“…Biofilm is the subject area that is capturing much attention and interest in wound care today, and there is a clear need for further knowledge and education . From a clinical perspective, while detection of wound biofilm is a difficult task, the evidence based on clinical expertise regarding wound characteristics associated with biofilm is growing and is consistent, as shown by this and other published research .…”

“…This study was an on‐line, 20–25 minute, self‐administered survey. Eighty‐one wound care clinicians (nurse practitioners) completed the survey in full [a number similar to the recently reported infection study ]. Clinicians were recruited in four countries: USA ( n = 20), UK ( n = 21), Germany ( n = 20) and Italy ( n = 20).…”

“…Efforts have been taken in recent years to provide guidance to clinicians on the significance , presence and management of wound biofilm , but there remains uncertainty and debate around this emerging subject. Recently, clinician knowledge and attitudes around the more established wound healing barrier of infection have been explored, within which biofilm was addressed as a key risk factor . The aim of this article is to focus on clinician knowledge, experience and perceptions of wound biofilm, with the aim of sharing current understanding, identifying gaps in knowledge, exploring possible regional differences in perceptions and highlighting educational opportunities.…”

Effect of a wound cleansing solution on wound bed preparation and inflammation in chronic wounds: a single-blind RCT

“…l Terminally ill patients l Patients treated with systemic or topical antibiotics, and/or antiseptics within 10 days of recruitment l Patients with a Braden score <10 l Patients under treatment with systemic corticosteroids, immunosuppressants or radiotherapy l Patients difficult to reposition or impossible to place on a pressure-redistributing mattress A. Peghetti, 8…”

“…7 Biofilm acts as a mechanical barrier reducing antimicrobial contact with bacteria and their effectiveness, and facilitating the bioburden transition from simple colonisation to critical colonisation and infection. 8 Biofilm adhesion to wound bed tissue is stronger than the adhesion of slough, and biofilms are highly resistant to cleansing by irrigation with isotonic solutions. 9,10 Evidence suggests that debridement is the best method to reduce the biofilm burden in chronic wounds.…”