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Published on: February 28, 2025
Embedding Wound Hygiene into a proactive wound healing strategy.
Chris Murphy1, Leanne Atkin2, Melina Vega de Ceniga3
1Vascular Nurse Specialist, The Ottawa Hospital Limb Preservation Centre, Ottawa, Canada.
Wound Hygiene, a proactive wound healing strategy, has shown significant success in improving healing rates for hard-to-heal wounds. Further research and training are needed to address barriers like confidence and competence in its implementation.
Area of Science:
- Wound healing
- Biofilm management
- Healthcare protocols
Background:
- The initial 2020 consensus document established Wound Hygiene as a proactive approach for all wounds, especially hard-to-heal ones.
- Subsequent initiatives include webinars, training, ambassador programs, a large survey, and case studies demonstrating Wound Hygiene's benefits.
- Wound Hygiene is an antibiofilm 4-step protocol gaining traction in wound care.
Purpose of the Study:
- To reflect on the success of Wound Hygiene in its first two years and reiterate its core principles.
- To discuss the evolution of Wound Hygiene, its application across different wound types, and embedding it into proactive wound healing strategies.
- To provide guidance for healthcare professionals to implement Wound Hygiene and address identified barriers.
Main Methods:
- A virtual consensus panel of international key opinion leaders convened to discuss survey outputs and unmet needs.
- Review of existing literature and implementation data on Wound Hygiene.
- Development of a flexible 3-phase framework for integrating Wound Hygiene into proactive wound healing.
Main Results:
- A 2021 survey indicated 57.4% awareness of Wound Hygiene, with 75.3% implementation among those aware.
- 80.3% of respondents reported improved healing rates after implementing Wound Hygiene.
- Key barriers identified were lack of confidence, competence, and research data.
Conclusions:
- Wound Hygiene is a successful antibiofilm approach that benefits hard-to-heal wounds.
- Addressing barriers through continued education and research is crucial for widespread adoption.
- Embedding Wound Hygiene into a proactive wound healing strategy is the next stage for global wound care.
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