Journal of wound care最新文献

{"title":"Deep tissue pressure injury: when did the original event occur before its skin manifestation?","authors":"Richard Simman","doi":"10.12968/jowc.2026.0533","DOIUrl":"https://doi.org/10.12968/jowc.2026.0533","url":null,"abstract":"","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":"35 10","pages":"855"},"PeriodicalIF":2.0,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Biomimetic approaches in wound healing and skin regeneration: a narrative review.","authors":"Mark G Rippon, Alan A Rogers, Karen Ousey","doi":"10.12968/jowc.2026.0367","DOIUrl":"https://doi.org/10.12968/jowc.2026.0367","url":null,"abstract":"<p><strong>Objective: </strong>Biomimetic approaches, which mimic the structural and functional characteristics of biological tissues and natural healing processes, have emerged as a promising strategy in regenerative medicine and, in wound care, biomimetic materials are designed to replicate the extracellular matrix and wound microenvironment to promote tissue repair and support the body's intrinsic healing mechanisms. This narrative review aimed to evaluate the published evidence for biomimetic materials in wound healing, and to assess the extent to which current wound dressings have been investigated and described from a biomimetic perspective.</p><p><strong>Method: </strong>A structured narrative review was undertaken using MEDLINE and Google Scholar, and manually from other sources (non-MEDLINE-indexed journals) using keywords \"wound\" and \"biomimetic\". The review included studies published between January 1990 and March 2026.</p><p><strong>Results: </strong>A total of 2586 articles were reviewed, from which data from 16 relevant articles were analysed. Across acute, burn and hard-to-heal wounds, 10 preclinical and six clinical studies were identified. This review identified that, across acute, burn and hard-to-heal wound models, biomimetic materials consistently demonstrated improved healing outcomes, including accelerated wound closure, enhanced collagen deposition, angiogenesis, re-epithelialisation and modulation of inflammation. Clinical studies similarly reported improved wound healing, reductions in wound size and pain, although the overall quality and quantity of clinical evidence remain limited. Most clinical studies using wound care dressings have focused on their physical or functional properties, being described as having clinical outcomes such as moisture retention, or exudate management, without framing these effects as having a biomimetic aspect or appreciating their potential as having biomimetic properties replicating the dermal matrix.</p><p><strong>Conclusion: </strong>The authors would suggest that the wound care literature contains a substantial 'hidden biomimetic' element in which dressings demonstrate biomimetic mechanisms of action without being explicitly identified as biomimetic technologies.</p>","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":"35 10","pages":"915-924"},"PeriodicalIF":2.0,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Case collection on antimicrobial stewardship and the role of microbial-binding dressings in closed surgical incisions.","authors":"Bodo Günther, George Smith, Kevin Woo","doi":"10.12968/jowc.2026.0350","DOIUrl":"https://doi.org/10.12968/jowc.2026.0350","url":null,"abstract":"<p><strong>Declaration of interest: </strong>This supplement was supported by Essity AB, Sweden. The authors received honoraria for their contributions. Essity AB could provide feedback on product-related content, with implementation at the authors' discretion.</p>","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":"35 Sup10D","pages":"S11-S21"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149137261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Foreword.","authors":"Patricia Idensohn","doi":"10.12968/jowc.2026.35.Sup10d.S3","DOIUrl":"https://doi.org/10.12968/jowc.2026.35.Sup10d.S3","url":null,"abstract":"","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":"35 Sup10D","pages":"S3"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149137296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gulf regional guidelines for managing diabetic foot ulcers: assessment, treatment and prevention of recurrence.","authors":"Noor Janahi, Aisha Saif Al Mahrizi, Muneera Ben Nakhi, Saud Al Harthi, Khalifa Al Wahaibi, Nashat Ali Ghandoura, Kartik Hariharan, Anthony R Iorio, Hussam Itani, Talal Elenizi Khader Talal, Thamra Al Ghafri, Maram Al Khatieb, Dalal Al Romaihi, Fatima Ali, Joon Hong","doi":"10.12968/jowc.2026.0559","DOIUrl":"10.12968/jowc.2026.0559","url":null,"abstract":"<p><strong>Background: </strong>Diabetic foot ulcers (DFUs) represent a major and growing complication of diabetes in the Gulf and wider Middle East and North Africa (MENA) region, which has the world's highest diabetes prevalence at approximately 17.6% of adults. DFUs carry a high burden of morbidity, mortality and economic cost, and their complex multifactorial aetiology, encompassing peripheral neuropathy, ischaemia, deformity and infection, is compounded by region-specific cultural, climatic and healthcare factors.</p><p><strong>Aims: </strong>To develop evidence-based, Gulf-specific clinical guidelines on the assessment, management and prevention of recurrence of DFUs, applicable across varying levels of healthcare infrastructure and sensitive to the cultural context of the Gulf region.</p><p><strong>Method: </strong>An international panel of diabetes and wound care experts from the Gulf region and beyond reviewed current international evidence and guidelines and applied it to Gulf-specific practice contexts. Consensus-based recommendations were formulated across the DFU care pathway through a structured expert panel process.</p><p><strong>Findings: </strong>The guidelines provide recommendations across five domains: (1) causes and complications, including overlapping aetiological pathways, comorbidities, infection risk, chronicity and psychosocial impact; (2) holistic patient assessment encompassing wound, vascular, neurological, biomechanical, dermatological and footwear evaluation with clear red-flag escalation pathways; (3) management, covering offloading, wound bed preparation, comorbidity optimisation and multidisciplinary collaboration; (4) prevention of recurrence through risk-stratified surveillance, patient education and lifestyle modification; and (5) regional recommendations addressing Gulf-specific clinical, cultural and infrastructural considerations throughout.</p><p><strong>Conclusion: </strong>Effective management of DFUs in the Gulf and MENA region requires a comprehensive, integrated, multidisciplinary approach grounded in international evidence and calibrated to regional context. These guidelines aim to standardise clinical practice, reduce variation in care and improve outcomes for patients across the region.</p>","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":"35 Sup10C","pages":"S1-S24"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149137307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Consensus guidelines on optimal sizing, administration and documentation of cellular, acellular and matrix-like products (CAMPs).","authors":"Windy Cole, Shaun Carpenter, Abigail Chaffin, Jonathan Johnson, Martha R Kelso, William O'Malley, Alisha Oropallo, Robert Snyder, Mark Suski, Amy Couch, John Lantis, Jeffrey Lehrman, Joe Molnar, Devinder Singh, John Steinberg","doi":"10.12968/jowc.2026.0425","DOIUrl":"10.12968/jowc.2026.0425","url":null,"abstract":"<p><p>In January 2026, the Centers for Medicare & Medicaid Services (CMS) reclassified cellular, acellular and matrixlike products (CAMPs) from 'biologicals' to 'incident-to supplies' under Medicare Part B, introducing a flat-fee reimbursement model. However, there was clinical ambiguity regarding the definition, measurement and documentation of administered and discarded product. This uncertainty has increased audit risk and been associated with reduced confidence among providers in appropriate CAMPs use. In February 2026, a multidisciplinary US panel of wound care and reimbursement specialists convened to establish reco mmendations for CAMPs use consistent with current Medicare policy, addressing three domains: correct clinical use, comprising adequate patient preparation and need for CAMP to conform to both the internal surface area of the wound and an external fixation edge, which combined constitute the therapeutic treatment area (TTA); need for use of drape tracing with planimetry or three-dimensional digital imaging to accurately measure the TTA; and importance of comprehensive documentation of medical necessity and the amount of administered and discarded product, using CMS-aligned terminology. The panel states that traditional length-by-width multiplication is insufficient to measure the TTA.</p>","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":"35 Sup10B","pages":"S1-S16"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149137326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Continuous integral debridement: implementation in the Asia-Pacific region.","authors":"Khong Yik Chew, Harikrishna Kr Nair, Kusuma Chinaroonchai, Nicoletta Frescos, Daiwon Jun, Donna Larsen, Sanjay Vaidya, Xingang Wang, Apirag Chuangsuwanich, Joon Pio Hong, George Rodeheaver, Geoff Sussman","doi":"10.12968/jowc.2026.0549","DOIUrl":"https://doi.org/10.12968/jowc.2026.0549","url":null,"abstract":"<p><p>The health-economic burden of hard-to-heal wounds is rising across the Asia-Pacific (APAC) region, yet regional data remain sparse, particularly for venous leg ulcers and pressure injuries. Effective wound bed preparation, including management of bioburden and biofilm, is central to healing outcomes, but debridement practice across APAC is inconsistent. In May 2026, the <i>Journal of Wound Care</i> published the continuous integral debridement (CID) concept, built around a four-step cleanse, debride, cleanse, dress (CDCD) cycle designed to standardise debridement in everyday clinical practice. This article reports the outcomes of a July 2026 APAC expert panel convened to review the CID concept and its applicability to the region. The panel considered the concept's alignment with established frameworks and its relevance across wound types and care settings. It identifies barriers to implementation, among them variable clinician competence, resource constraints and inconsistent access to education, and sets out recommendations for overcoming these through structured education, multidisciplinary collaboration and the development of local champions. The panel also highlights the role of audit in supporting quality improvement as CID is introduced into practice. These recommendations aim to support clinicians across the APAC region in adopting a consistent, evidence-based approach to wound debridement, with the goal of improving healing outcomes for patients with hard-to-heal wounds.</p>","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":"35 Sup10E","pages":"S1-S7"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149128027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Case collection on antimicrobial stewardship and the role of microbial-binding dressings in diabetes-related foot ulcers.","authors":"Paulo Ramos, George Smith","doi":"10.12968/jowc.2026.0349","DOIUrl":"https://doi.org/10.12968/jowc.2026.0349","url":null,"abstract":"<p><strong>Declaration of interest: </strong>This supplement was supported by Essity AB, Sweden. The authors received honoraria for their contributions. Essity AB could provide feedback on product-related content, with implementation at the authors' discretion.</p>","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":"35 Sup10D","pages":"S29-S35"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149137293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Case collection on antimicrobial stewardship and the role of microbial-binding dressings in venous leg ulcers.","authors":"Klarida Hoxha, Paulo Ramos","doi":"10.12968/jowc.2026.0348","DOIUrl":"https://doi.org/10.12968/jowc.2026.0348","url":null,"abstract":"<p><strong>Declaration of interest: </strong>This supplement was supported by Essity AB, Sweden. The authors received honoraria for their contributions. Essity AB could provide feedback on product-related content, with implementation at the authors' discretion.</p>","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":"35 Sup10D","pages":"S36-S43"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149137284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Case collection on antimicrobial stewardship and the role of microbial-binding dressings in hard-to-heal wounds.","authors":"Bodo Günther, Paulo Ramos, Kevin Woo","doi":"10.12968/jowc.2026.0347","DOIUrl":"https://doi.org/10.12968/jowc.2026.0347","url":null,"abstract":"<p><strong>Declaration of interest: </strong>This supplement was supported by Essity AB, Sweden. The authors received honoraria for their contributions. Essity AB could provide feedback on product-related content, with implementation at the authors' discretion.</p>","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":"35 Sup10D","pages":"S22-S28"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149137348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}