Essential Microbiology for Wound Care

Essential Microbiology for Wound Care

Valerie Edwards-Jones

Print publication date: Jan 2016

ISBN: 9780198716006

Publisher: Oxford University Press

Abstract

Wound healing is a complex process which is further complicated by the influence of microorganisms. Most wounds become contaminated following the initial trauma but only small numbers develop infection. Wound infection can be readily identified following acute injury and the typical tell-tale signs of redness, swelling, pain, and exudate make diagnosis straightforward. Acute wound infections usually respond to antibiotic treatment, albeit with the increasing numbers of antimicrobial-resistant strains, some may need more intensive treatment. However, some wounds fail to heal and become chronic. These do not respond well to antibiotics and require a dedicated team of wound care specialists, using a variety of topical antimicrobial treatments and dressings, to help heal the wound. Some chronic wounds fail to heal and depending upon the site of the wound may necessitate amputation or surgery, leading to immense problems for the patient in quality of life issues. The role of biofilms in chronic wounds is increasingly becoming accepted and their treatment regimens are very different to those of acute wound treatment. This book covers the microbiology of wounds, describing the different groups of microorganisms, reproduction, isolation, and identification. Antimicrobial agents, systemic and topical, are described in detail and a chapter covers the role of biofilms. Other chapters cover infection control issues, the role of dressings and effective usage to help manage infection, wound management, and the healing stages in acute and chronic wounds. The final chapter focusses on current and future trends of wound management.