Challenges and innovations in treating chronic and acute wound infections: from basic science to clinical practice

Autor: Xiaotong Ding, Qinghan Tang, Zeyu Xu, Ye Xu, Hao Zhang, Dongfeng Zheng, Shuqin Wang, Qian Tan, Joanneke Maitz, Peter K Maitz, Shaoping Yin, Yiwei Wang, Jun Chen
Rok vydání: 2022
Předmět:
Zdroj: Burns & Trauma. 10
ISSN: 2321-3876
DOI: 10.1093/burnst/tkac014
Popis: Acute and chronic wound infection has become a major worldwide healthcare burden leading to significantly high morbidity and mortality. The underlying mechanism of infections has been widely investigated by scientist, while standard wound management is routinely been used in general practice. However, strategies for the diagnosis and treatment of wound infections remain a great challenge due to the occurrence of biofilm colonization, delayed healing and drug resistance. In the present review, we summarize the common microorganisms found in acute and chronic wound infections and discuss the challenges from the aspects of clinical diagnosis, non-surgical methods and surgical methods. Moreover, we highlight emerging innovations in the development of antimicrobial peptides, phages, controlled drug delivery, wound dressing materials and herbal medicine, and find that sensitive diagnostics, combined treatment and skin microbiome regulation could be future directions in the treatment of wound infection.
Databáze: OpenAIRE