Journal of Wound Care

In this month’s edition, a number of papers focus on the issue of wound infection. Our cover story is a review of the microbiological, immunological, clinical and therapeutic distinctions of acute and chronic wound infections. Case reports describe Proteus mirabilis resistant to carbapenems isolated from a patient with a venous leg ulcer, the treatment of a diabetic leg ulcer infected with MRSA with citric acid, and a fatal case of invasive aspergillosis in a child with chronic granulomatous disease. 

A randomised clinical trial examines the effectiveness of testing hard-to-heal wounds for bacterial protease activity, and a prospective, multicentre study evaluates the management of patients with wounds at risk of or with local infection with TLC-Ag dressings. A narrative review describes the implications of endotoxins in wound healing, and there is a comprehensive discussion on the subject of wound dressing adherence. 

A systematic review looks at strategies to prevent suppurative chondritis following auricular burns, and a description of the development of a surgical wound assessment tool to measure healing and risk factors for delayed wound healing in Vietnam using a Delphi process is presented. Our final case study presents a case of contact allergy mimicking as trench foot.
 
May’s edition also includes the North American Supplement which features an evaluation of Altrazeal transforming powder dressing on stage 2–4 pressure ulcers in a clinical case series; a narrative review of the role of macronutrients and micronutrients in wound healing; a discussion of the challenges to establishing a new subspecialty in wound care and a possible physician wound certification; and a discussion of hyperbaric oxygen therapy treatment as an alternative for a chronic sinus tract after chordoma surgery and radiation.