Infectious Aspects of Chronic Wounds.

Clin Geriatr Med

Icahn School of Medicine at Mount Sinai, New York, NY 10010, USA. Electronic address:

Published: August 2024

AI Article Synopsis

  • Treating chronic wounds presents difficulties for healthcare providers, particularly in distinguishing between colonization and infection, and knowing when to apply systemic antibiotics.
  • There is a lack of standardized guidelines for managing these infections, making wound care more of an art than a science.
  • Recent progress has been made in diagnosing and managing infected wounds, with the article focusing on infections common in older adults, such as cutaneous candidiasis and osteomyelitis.

Article Abstract

The treatment, maintenance, and suppression of infection in chronic wounds remain a challenge to all practitioners. From an infectious disease standpoint, knowing when a chronic wound has progressed from colonized to infected, when to use systemic antimicrobial therapy and when and how to culture such wounds can be daunting. With few standardized clinical guidelines for infections in chronic wounds, caring for them is an art form. However, there have been notable advances in the diagnosis, treatment, and management of infected wounds. This article will discuss the pathophysiology of infection in older adults, including specific infections such as cutaneous candidiasis, necrotizing soft tissue infection, osteomyelitis, and infections involving hardware.

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Source
http://dx.doi.org/10.1016/j.cger.2024.03.001DOI Listing

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