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Strategies for Early Biofilm Interventions

Speaker: Randall Wolcott, MD

Biofilm is present in chronic wounds anywhere from 60% to 100% of the time. Biofilm has multiple colony defenses that must be overcome to manage chronic wounds effectively. This webinar will discuss the role of treatment modalities in the effective management of biofilm, as well as clinical presentation of wounds in discontinuing intervention as control of the wound (less exudate, less slough, etc.) is obtained.



Biofilm Management Using a Wound Hygiene Protocol

Wound care professionals whose patients have hard-to-heal wounds work to prevent or treat biofilm formation and infection for optimal clinical outcomes. Utilizing the wound hygiene protocol encourages consistent implementation of wound cleansing, debridement, refashioning of wound edges, and appropriate wound dressing selection. This strategy can reduce antibiotic prescriptions, lower overall wound-related costs, and improve quality of care for patients with chronic wounds. This white paper describes biofilm formation and the role of biofilms in delayed wound healing. An overview of the history, principles, and steps of the wound hygiene protocol is also presented.


Quick Facts – Infection Control and Wound Management

This fact sheet is packed with the latest information on biofilms, debridement, and wound hygiene. The print-friendly format is perfect for posting on the bulletin board or distributing to your nursing staff at in-service.

How Much Do You Know Infection Management?

Take our 10-question quiz to find out.


Managing Wound Infection with Debridement

Wound debridement is a critical strategy in treating hard-to-heal wounds. It is a process that expedites healing by removing necrotic tissue, non-viable tissue, and foreign material. It can also be used to manage…

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Choosing Antimicrobial Wound Dressings

Prevention and management of biofilm and infection in wounds can be supported by using antimicrobial and antibiofilm dressings. Internationally, there has been a rising prevalence of antibiotic-resistant…

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Hard-to-Heal Wounds: Steps for Interventions

Delayed wound healing occurs in various wound types and in patients with significant comorbidities. Hard-to-heal wounds have proven to be a challenging and worldwide crisis resulting in high financial burdens…

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Hard-to-Heal Wounds: The Effects of Biofilm

Biofilms are found in the majority of chronic wounds and pose a critical health threat, causing nearly 80% of refractory nosocomial infections. They also have a damaging virulence mechanism, which induces…

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Terms to Know: Infection Control and Wound Management

Bioburden: Bioburden is the number of microorganisms in a wound, and a high bioburden can cause delayed wound healing.

Biofilm: Biofilms are usually composed of mixed strains of bacteria, fungi, yeasts, algae, microbes, and other cellular debris that adhere to the wound surface.

Epibole: Epibole refers to rolled or curled-under closed wound edges. These rolled edges are thickened epidermis that may be callused, dry, scaly, and/or hyperkeratotic. When epibole is present in a wound, it signals to the body that the wound has healed, even though the wound remains open. Epibole must be resolved to allow the wound to close.

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