Interpretation of 2022 edition of <i>Wound Infection in Clinical Practice: Principles of Best Practice</i>_West China Medical Journal

Authors：

LEI Changbin ¹ , XU Ke ² , ZHOU Chuanru ² , LIU Shanshan ² , WANG Cong ² , CAO Hua ³ ,  JIANG Yan ⁴

1. Trauma Center, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Evidence-Based Nursing Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
3. Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
4. Evidence-Based Nursing Center, Nursing Department, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

JIANG Yan, Email: hxhljy@163.com

Keywords：

Wound infection; infection management; best practices; expert consensus; interpretation

DOI：

10.7507/1002-0179.202311208

Video：

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Wound infection can prolong wound healing time, increase hospitalization cycle and readmission rate, seriously affect patients’ quality of life and increase economic expenditure. Timely and accurate identification and management of wound infections is key to promoting wound healing and maximizing cost-effective management. In 2022, the International Wound Infection Association published the third edition of Wound Infection in Clinical Practice: Principles of Best Practice. The consensus incorporates new advances in research and clinical practice in the areas of wound environment, risk factors for infection, biofilms, antibiotic resistance, and the identification and management of wound infections, and provides detailed approaches to infection assessment and management. This article introduces the key elements of the 2022 expert consensus and interprets the updated content to help healthcare professionals, patients, caregivers, and policy makers understand the latest consensus document, promote its clinical application in the prevention and treatment of wound infection, and better improve the quality of clinical practice.

Citation： LEI Changbin, XU Ke, ZHOU Chuanru, LIU Shanshan, WANG Cong, CAO Hua, JIANG Yan. Interpretation of 2022 edition of Wound Infection in Clinical Practice: Principles of Best Practice. West China Medical Journal, 2024, 39(4): 509-516. doi: 10.7507/1002-0179.202311208 Copy

1.	Stryja J. Surgical site infection and local management of the wound meta-analysis. Rozhl Chir, 2021, 100(7): 313-324.
2.	Malone M, Bjarnsholt T, McBain AJ, et al. The prevalence of biofilms in chronic wounds: a systematic review and meta-analysis of published data. J Wound Care, 2017, 26(1): 20-25.
3.	Li S, Renick P, Senkowsky J, et al. Diagnostics for wound infections. Adv Wound Care (New Rochelle), 2021, 10(6): 317-327.
4.	Sandoz H. An overview of the prevention and management of wound infection. Nurs Stand, 2022, 37(10): 75-82.
5.	Seidelman JL, Mantyh CR, Anderson DJ. Surgical site infection prevention: a review. JAMA, 2023, 329(3): 244-252.
6.	Badia JM, Casey AL, Petrosillo N, et al. Impact of surgical site infection on healthcare costs and patient outcomes: a systematic review in six European countries. J Hosp Infect, 2017, 96(1): 1-15.
7.	Penel N, Lefebvre JL, Cazin JL, et al. Additional direct medical costs associated with nosocomial infections after head and neck cancer surgery: a hospital-perspective analysis. Int J Oral Maxillofac Surg, 2008, 37(2): 135-139.
8.	Nobile M, Navone P, Orzella A, et al. Developing a model for analysis the extra costs associated with surgical site infections (SSIs): an orthopaedic and traumatological study run by the Gaetano Pini Orthopaedic Institute. Antimicrob Resist Infect Control, 2015, 4(Suppl 1): P68.
9.	Swanson T, Ousey K, Haesler E, et al. IWII wound infection in clinical practice consensus document: 2022 update. J Wound Care, 2022, 31(Suppl 12): S10-S21.
10.	Swanson T, Angel D, Sussman G, et al. Wound infection in clinical practice: principles of best practice. London: Wounds International, 2016.
11.	Lindsay S, Oates A, Bourdillon K. The detrimental impact of extracellular bacterial proteases on wound healing. Int Wound J, 2017, 14(6): 1237-1247.
12.	Gardner SE, Frantz RA, Troia C, et al. A toolto assess clinical signs and symptoms of localized infection in chronic wounds: development and reliability. Ostomy Wound Manage, 2001, 47(1): 40-47.
13.	Dowsett C, Bellingeri A, Carville K, et al. A route to more effective infection management: the infection management pathway. Wounds International, 2020, 11(3): 50-57.
14.	Wilson AP, Treasure T, Sturridge MF, et al. A scoring method (ASEPSIS) for postoperative wound infections for use in clinical trials of antibiotic prophylaxis. Lancet, 1986, 1(8476): 311-313.
15.	Monteiro-Soares M, Russell D, Boyko EJ, et al. Guidelines on the classification of diabetic foot ulcers (IWGDF 2019). Diabetes Metab Res Rev, 2020, 36(Suppl 1): e3273.
16.	Sibbald RG, Woo K, Ayello EA. Increased bacterial burden and infection: the story of NERDS and STONES. Adv Skin Wound Care, 2006, 19(8): 447-461.
17.	Dissemond J, Gerber V, Lobmann R, et al. Therapeutic index for local infections score (TILI): a new diagnostic tool. J Wound Care, 2020, 29(12): 720-726.
18.	Siaw-Sakyi V. Early wound infection identification using the WIRE tool in community health care settings: an audit report. Br J Community Nurs, 2017, 22(Suppl 12): S20-S27.
19.	劉瑾, 白蕊, 張佩英, 等. 2 種量表用于慢性傷口患者生活質量測評的對比研究. 中華護理雜志, 2023, 58(5): 558-564.
20.	段俊林, 陳偉. 傷口感染病原菌分布與耐藥性分析. 檢驗醫學與臨床, 2019, 16(2): 197-199, 203.
21.	胡艷紅, 沈世琴, 李霞, 等. 慢性感染傷口細菌檢測的研究進展. 中華全科醫師雜志, 2014, 13(11): 920-922.
22.	Rondas AA, Schols JM, Halfens RJ, et al. Swab versus biopsy for the diagnosis of chronic infected wounds. Adv Skin Wound Care, 2013, 26(5): 211-219.
23.	劉彤, 郭錦麗, 劉宏, 等. 以傷口治療師需求為導向的慢性傷口居家護理管理小程序的構建. 護理研究, 2023, 37(7): 1152-1157.
24.	何其英, 湯亞箐, 劉曉艷. 改良負壓治療技術及微信隨訪在居家慢性傷口延續護理中的應用. 護理學雜志, 2018, 33(12): 79-80, 88.
25.	魏惠燕, 潘紅英, 黃晨, 等. 醫院社區多學科聯動慢性傷口居家護理云平臺的構建及實施. 護理學雜志, 2022, 37(21): 86-89.

1. Stryja J. Surgical site infection and local management of the wound meta-analysis. Rozhl Chir, 2021, 100(7): 313-324.
2. Malone M, Bjarnsholt T, McBain AJ, et al. The prevalence of biofilms in chronic wounds: a systematic review and meta-analysis of published data. J Wound Care, 2017, 26(1): 20-25.
3. Li S, Renick P, Senkowsky J, et al. Diagnostics for wound infections. Adv Wound Care (New Rochelle), 2021, 10(6): 317-327.
4. Sandoz H. An overview of the prevention and management of wound infection. Nurs Stand, 2022, 37(10): 75-82.
5. Seidelman JL, Mantyh CR, Anderson DJ. Surgical site infection prevention: a review. JAMA, 2023, 329(3): 244-252.
6. Badia JM, Casey AL, Petrosillo N, et al. Impact of surgical site infection on healthcare costs and patient outcomes: a systematic review in six European countries. J Hosp Infect, 2017, 96(1): 1-15.
7. Penel N, Lefebvre JL, Cazin JL, et al. Additional direct medical costs associated with nosocomial infections after head and neck cancer surgery: a hospital-perspective analysis. Int J Oral Maxillofac Surg, 2008, 37(2): 135-139.
8. Nobile M, Navone P, Orzella A, et al. Developing a model for analysis the extra costs associated with surgical site infections (SSIs): an orthopaedic and traumatological study run by the Gaetano Pini Orthopaedic Institute. Antimicrob Resist Infect Control, 2015, 4(Suppl 1): P68.
9. Swanson T, Ousey K, Haesler E, et al. IWII wound infection in clinical practice consensus document: 2022 update. J Wound Care, 2022, 31(Suppl 12): S10-S21.
10. Swanson T, Angel D, Sussman G, et al. Wound infection in clinical practice: principles of best practice. London: Wounds International, 2016.
11. Lindsay S, Oates A, Bourdillon K. The detrimental impact of extracellular bacterial proteases on wound healing. Int Wound J, 2017, 14(6): 1237-1247.
12. Gardner SE, Frantz RA, Troia C, et al. A toolto assess clinical signs and symptoms of localized infection in chronic wounds: development and reliability. Ostomy Wound Manage, 2001, 47(1): 40-47.
13. Dowsett C, Bellingeri A, Carville K, et al. A route to more effective infection management: the infection management pathway. Wounds International, 2020, 11(3): 50-57.
14. Wilson AP, Treasure T, Sturridge MF, et al. A scoring method (ASEPSIS) for postoperative wound infections for use in clinical trials of antibiotic prophylaxis. Lancet, 1986, 1(8476): 311-313.
15. Monteiro-Soares M, Russell D, Boyko EJ, et al. Guidelines on the classification of diabetic foot ulcers (IWGDF 2019). Diabetes Metab Res Rev, 2020, 36(Suppl 1): e3273.
16. Sibbald RG, Woo K, Ayello EA. Increased bacterial burden and infection: the story of NERDS and STONES. Adv Skin Wound Care, 2006, 19(8): 447-461.
17. Dissemond J, Gerber V, Lobmann R, et al. Therapeutic index for local infections score (TILI): a new diagnostic tool. J Wound Care, 2020, 29(12): 720-726.
18. Siaw-Sakyi V. Early wound infection identification using the WIRE tool in community health care settings: an audit report. Br J Community Nurs, 2017, 22(Suppl 12): S20-S27.
19. 劉瑾, 白蕊, 張佩英, 等. 2 種量表用于慢性傷口患者生活質量測評的對比研究. 中華護理雜志, 2023, 58(5): 558-564.
20. 段俊林, 陳偉. 傷口感染病原菌分布與耐藥性分析. 檢驗醫學與臨床, 2019, 16(2): 197-199, 203.
21. 胡艷紅, 沈世琴, 李霞, 等. 慢性感染傷口細菌檢測的研究進展. 中華全科醫師雜志, 2014, 13(11): 920-922.
22. Rondas AA, Schols JM, Halfens RJ, et al. Swab versus biopsy for the diagnosis of chronic infected wounds. Adv Skin Wound Care, 2013, 26(5): 211-219.
23. 劉彤, 郭錦麗, 劉宏, 等. 以傷口治療師需求為導向的慢性傷口居家護理管理小程序的構建. 護理研究, 2023, 37(7): 1152-1157.
24. 何其英, 湯亞箐, 劉曉艷. 改良負壓治療技術及微信隨訪在居家慢性傷口延續護理中的應用. 護理學雜志, 2018, 33(12): 79-80, 88.
25. 魏惠燕, 潘紅英, 黃晨, 等. 醫院社區多學科聯動慢性傷口居家護理云平臺的構建及實施. 護理學雜志, 2022, 37(21): 86-89.

West China Medical Journal

Interpretation of 2022 edition of Wound Infection in Clinical Practice: Principles of Best Practice

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