Wound bed preparation 2024: Delphi consensus on foot ulcer management in resource-limited settings

Abstract

Background Chronic wound management in low-resource settings deserves special attention. Rural or underresourced settings (ie, those with limited basic needs/healthcare supplies and inconsistent availability of interprofessional team members) may not be able to apply or duplicate best practices from urban or abundantly resourced settings.Objective The authors linked world expertise to develop a practical and scientifically sound application of the wound bed preparation model for communities without ideal resources.Methods A group of 41 wound experts from 15 countries reached a consensus on wound bed preparation in resourcelimited settings.Results Each statement of 10 key concepts (32 substatements) reached more than 88% consensus. ConclusionsThe consensus statements and rationales can guide clinical practice and research for practitioners in lowresource settings. These concepts should prompt ongoing innovation to improve patient outcomes and healthcare system efficiency for all persons with foot ulcers, especially persons with diabetes.