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Biofilms

Wound dressings

Wound hygiene

IWII Wound Infection in Clinical Practice consensus document: 2022 update

01 December 2022

Education

Abstract

Wound infection is a major challenge for clinicians globally, with accurate and timely identification of wound infection being critical to achieving clinical and cost-effective management, and promotion of healing. This paper presents an overview of the development of the International Wound Infection Institute (IWII)'s 2022 Wound Infection in Clinical Practice consensus document. The updated document summarises current evidence and provides multidisciplinary healthcare providers with effective guidance and support on terminology, paradigms related to biofilm, identification of wound infection, wound cleansing, debridement and antimicrobial stewardship. Integral to the update is revision of wound infection management strategies which are incorporated within the IWII's Wound Infection Continuum (IWII–WIC) and management plan. The aim of the 2022 IWII consensus document update was to provide an accessible and useful clinical resource in at least six languages, incorporating the latest evidence and current best practice for wound infection and prevention. Dissemination techniques for the consensus are discussed and highlighted.

The International Wound Infection Institute (IWII) is a volunteer organisation that aims to promote prevention, identification and management of wound infection through publications, research, awareness campaigns and educational opportunities. The IWII produces a regularly updated consensus document that summarises the best clinical practice. The aim is to assist practitioners in updating their understanding and skills regarding prevention, identification and management of wound infection. The most recent edition of this consensus document was published in 2022.¹ The updated 2022 document summarises current evidence, providing multidisciplinary healthcare practitioners with guidance on terminology, paradigms related to biofilm, identification of wound infection, wound cleansing, debridement and antimicrobial stewardship. Integral to the update is revision of wound infection management strategies which are incorporated within the IWII's Wound Infection Continuum (IWII–WIC) and management plan, including efficacy of cleansing solutions, aseptic technique and antimicrobial stewardship. This project did not require ethical approval.

Wound infection is a major global challenge and presents healthcare systems with considerable economic burdens, as well as directly impacting on patients' quality of life.^2,3 Accurate and timely identification of a wound infection using clinical signs and symptoms, and other diagnostic modalities, is critical to achieving optimal and cost-effective management as well as promoting wound healing.^4,5,6

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antimicrobial

antimicrobial stewardship

biofilm

clinical guidance

debridement

infection

wound

wound care

wound cleansing

wound continuum

wound dressing

wound healing

wound infection