Clinical indicators of wound infection and biofilm

Reaching international consensus

Emily Haesler, Terry Swanson, Karen Ousey, Keryln Carville

Research output: Contribution to journalArticle

Abstract

Objective: To achieve international consensus relating to clinical indicators for a chronic wound, wound infection and biofilm presence to inform the development of international clinical guidance for assessing and managing wound infection. Method: An online Delphi consensus process of international key opinion leaders in infection was undertaken. A literature search underpinned the development of issue statements related to terminology, emerging topics and debate in the field of wound infection. Experts participated in three rounds of consensus voting, sharing their opinions and indicating their level of agreement with the issue statements. Votes were calculated using web-based software that implements a nominal group voting methodology previously published by Research and Development/University of California at Los Angeles. Results: A total of 14 experts took part in the development process. Consensus was reached on clinical indicators of wound chronicity, wound infection and biofilm presence. Agreement was also reached that the term 'critical colonisation' should no longer be used to refer to a stage in the wound infection continuum. Conclusion: Outcomes from the consensus process were used to inform the development of international, evidence-informed guidance on the assessment and treatment of wound infection to promote improved outcomes for people with wounds. Declaration of interest: There were no external sources of funding for this study. The authors have no conflicts of interest to declare.

Original languageEnglish
Pages (from-to)S4-S12
JournalJournal of wound care
Volume28
Issue numberSup3b
DOIs
Publication statusPublished - 2 Mar 2019

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Wound Infection
Biofilms
Politics
Wounds and Injuries
Conflict of Interest
Los Angeles
Terminology
Software
Infection
Research

Cite this

Haesler, Emily ; Swanson, Terry ; Ousey, Karen ; Carville, Keryln. / Clinical indicators of wound infection and biofilm : Reaching international consensus. In: Journal of wound care. 2019 ; Vol. 28, No. Sup3b. pp. S4-S12.
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abstract = "Objective: To achieve international consensus relating to clinical indicators for a chronic wound, wound infection and biofilm presence to inform the development of international clinical guidance for assessing and managing wound infection. Method: An online Delphi consensus process of international key opinion leaders in infection was undertaken. A literature search underpinned the development of issue statements related to terminology, emerging topics and debate in the field of wound infection. Experts participated in three rounds of consensus voting, sharing their opinions and indicating their level of agreement with the issue statements. Votes were calculated using web-based software that implements a nominal group voting methodology previously published by Research and Development/University of California at Los Angeles. Results: A total of 14 experts took part in the development process. Consensus was reached on clinical indicators of wound chronicity, wound infection and biofilm presence. Agreement was also reached that the term 'critical colonisation' should no longer be used to refer to a stage in the wound infection continuum. Conclusion: Outcomes from the consensus process were used to inform the development of international, evidence-informed guidance on the assessment and treatment of wound infection to promote improved outcomes for people with wounds. Declaration of interest: There were no external sources of funding for this study. The authors have no conflicts of interest to declare.",
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Clinical indicators of wound infection and biofilm : Reaching international consensus. / Haesler, Emily; Swanson, Terry; Ousey, Karen; Carville, Keryln.

In: Journal of wound care, Vol. 28, No. Sup3b, 02.03.2019, p. S4-S12.

Research output: Contribution to journalArticle

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T2 - Reaching international consensus

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AU - Swanson, Terry

AU - Ousey, Karen

AU - Carville, Keryln

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AB - Objective: To achieve international consensus relating to clinical indicators for a chronic wound, wound infection and biofilm presence to inform the development of international clinical guidance for assessing and managing wound infection. Method: An online Delphi consensus process of international key opinion leaders in infection was undertaken. A literature search underpinned the development of issue statements related to terminology, emerging topics and debate in the field of wound infection. Experts participated in three rounds of consensus voting, sharing their opinions and indicating their level of agreement with the issue statements. Votes were calculated using web-based software that implements a nominal group voting methodology previously published by Research and Development/University of California at Los Angeles. Results: A total of 14 experts took part in the development process. Consensus was reached on clinical indicators of wound chronicity, wound infection and biofilm presence. Agreement was also reached that the term 'critical colonisation' should no longer be used to refer to a stage in the wound infection continuum. Conclusion: Outcomes from the consensus process were used to inform the development of international, evidence-informed guidance on the assessment and treatment of wound infection to promote improved outcomes for people with wounds. Declaration of interest: There were no external sources of funding for this study. The authors have no conflicts of interest to declare.

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