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Persistence
of the chronic wound – implicating biofilm |
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Printed with kind permission
from Wound Healing Southern Africa
Bacteria as we traditionally know them
begin as single seeds of a (planktonic)
bacterium. They express proteins and
structures for motility (flagella) and
attachment (fimbria). They aim to seed
themselves and disperse to different
areas thus exposing widespread areas
to their presence and toxicity. In this
form they are susceptible to antibiotics,
some antiseptics and the immune system.
In acute wounds they are usually rapidly
destroyed or inactivated by neutrophils,
antibodies and common wound bed preparations.
They are also usually easily identified
and cultured.
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Case
studies |
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Printed with kind permission
from Wound Healing Southern Africa
The ambulatory wound care concept is
an accepted and growing phenomenon worldwide.
As the aging population grows so the
number of patients with chronic diseases
increases. Each and every chronic disease
is associated with a wound manifestation
of one type or another. Thus diabetic
patients present with diabetic foot
ulcers; those with chronic venous insufficiency
present with venous leg ulcers; hypertensive
patients present with arterial ulcers;
elderly patients on corticosteroid drugs,
blood thinners and other immunosuppressive
drugs are prone to injuries, abrasions
and differing wounds; and the list goes
on...
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WHASA
wheel |
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Printed with kind permission
from Wound Healing Southern Africa
The WHASA (Wound Healing Association
of Southern Africa) WHEEL is a concept
that has been developed to demonstrate
the impact of interspeciality co-operation
for the ultimate benefit of the patient.
This article, by means of a hypothetical
case, attempts to demonstrate this co-operation
and to highlight esoteric situations
that arise when considering wound healing
among the different fields. It is by
no means exhaustive of surgical scenarios
but merely representative of fairly
common situations that any of us could
encounter on a daily basis.
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Leading
Edge Wound Care Services |
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The ageing process,
diabetes, trauma, complications of surgery
and other conditions may lead to chronic,
non-healing wounds. These include venous
ulcers, pressure sores, ischaemic ulcers,
diabetic foot ulcers and poorly healing
wounds in compromised patients.
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