Advances in Skin & Wound Care最新文献

{"title":"Hidradenitis Suppurativa Update: From Stepwise Treatment to Phenotype-Driven Care.","authors":"R Gary Sibbald, Elizabeth A Ayello, Dale R Kalina Samji, Cathryn J Sibbald","doi":"10.1097/ASW.0000000000000528","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000528","url":null,"abstract":"","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"39 9","pages":"453-454"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149001099","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":"Hidradenitis Suppurativa: Part of a Tetrad of Follicular Occlusion Disorders.","authors":"","doi":"10.1097/ASW.0000000000000530","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000530","url":null,"abstract":"","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"39 9","pages":"E316"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149001007","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":"Do Not Focus on the Code Number: Focus on the Code Description.","authors":"Kathleen D Schaum","doi":"10.1097/ASW.0000000000000529","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000529","url":null,"abstract":"","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"39 9","pages":"455-456"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149001111","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":"Hidradenitis Suppurativa: Part of a Tetrad of Follicular Occlusion Disorders.","authors":"Shannon P Sie, David Walker, R Gary Sibbald, Christeebella Akpala, Jonathan Miller, Patricia M Coutts, Afsaneh Alavi","doi":"10.1097/ASW.0000000000000523","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000523","url":null,"abstract":"<p><p>Follicular occlusion disorders (FOD) represent a tetrad of chronic, recurrent inflammatory conditions united by a common pathophysiologic mechanism: follicular hyperkeratosis leading to occlusion, rupture, and subsequent abscess or sinus tract formation. First conceptualized as a triad in the 1950s and later expanded to a tetrad in the 1970s, this grouping includes hidradenitis suppurativa (HS), acne conglobata (AC), dissecting cellulitis of the scalp (DCS), and pilonidal sinus (PS). Despite their shared pathogenesis, each condition carries distinct clinical features, epidemiological profiles, and management considerations. This article aims to provide a comprehensive review of FOD, with a primary emphasis on HS (the most prevalent of the disorders). Hidradenitis suppurativa is a debilitating disease affecting ∼1% of the global population, predominantly in females, and the diagnosis is often delayed by 7 or more years. Multiple genes are linked to FOD patients with a positive familial history in 35% to 40%, along with lifestyle factors (smoking, alcohol consumption, and obesity). Key inflammatory mediators, including TNF-α, IL-1β, and IL-17, drive the chronic tissue destruction characteristic of FOD, frequently resulting in scarring, lymphedema, and significant psychosocial impairment. Wound care is critical and often underemphasized in disease management. This article outlines evidence-informed wound care strategies for both nonsurgical and postsurgical presentations, including dressing selection, exudate and odor management, pain and itch control, infection management, and the emerging role of intravenous ertapenem as rescue therapy. An interprofessional approach, integrating dermatology, surgery, wound care nursing, and psychosocial support, is emphasized throughout as essential to improving patient outcomes and quality of life.</p><p><strong>General purpose: </strong>To increase clinicians' understanding of follicular occlusion disorders including the associated risk factors, clinical manifestations, and evidence-based approaches for management.</p><p><strong>Target audience: </strong>This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and registered nurses with an interest in skin and wound care.</p><p><strong>Learning objectives/outcomes: </strong>After participating in this educational activity, the participant will: Assess clinical characteristics of each follicular occlusion disorderEvaluate the basic disease mechanisms for follicular occlusion disordersDescribe principal disease burdens that require wound care attentionIdentify the unique wound care strategies and follicular occlusion disorder challenges JOURNAL/aswca/04.03/00129334-202610000-00004/figure1/v/2026-09-18T181327Z/r/image-jpeg.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"39 9","pages":"462-475"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149001096","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":"Managing Complex Wounds After Treatment Failure: Patterns Identified in an Advanced Wound Healing Center: Erratum.","authors":"Lisa Draghi, Frank L Ross","doi":"10.1097/ASW.0000000000000536","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000536","url":null,"abstract":"","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149001163","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":"Hypochlorous Acid: Considerations for Use in Skin Care and Skin Preparation.","authors":"Valerie Edwards-Jones","doi":"10.1097/ASW.0000000000000524","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000524","url":null,"abstract":"<p><p>Hypochlorous acid (HOCl) is endogenously produced by neutrophils, macrophages, and other cells of the innate immune system and acts as a natural antiseptic. The active components are chlorine and reactive oxygen species in the form of a weak acid. It can be manufactured by electrolysis or chemical acidification of sodium or calcium hypochlorite, producing a mixed solution of HOCl and hypochlorite ions (OCl-) in equilibrium. The ratios of HOCl to OCl- within the solutions vary depending upon the manufacturing process and method used for stabilization. These ratios can change over time, and maintaining pH and storage conditions is essential to ensure a long shelf life. Hypochlorous acid solution has become favorable as an alternative skin preparation and skin care in aesthetics and dermatology. This review will examine the manufacture, toxicity, and efficacy of HOCl used in skin preparation and other areas of use in health care.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148904936","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":"Implementing a Nurse-driven Quality Improvement System for Incontinence-associated Dermatitis Prevention in a General Surgery Ward.","authors":"Hongxia Xu, Yanping Huang, Lili Cheng, Huiyan Wei, Liping Zhu, Liuqun Feng, Ying Wang, Jinli Mao, Hongyang Hu, Hongying Pan","doi":"10.1097/ASW.0000000000000526","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000526","url":null,"abstract":"<p><strong>Objective: </strong>This quality improvement (QI) project evaluated the effectiveness of a structured, nurse-driven incontinence-associated dermatitis (IAD) prevention system in reducing IAD incidence and severity and improving nursing staff knowledge and caregiver adherence in a general surgery ward.</p><p><strong>Methods: </strong>A pre-post QI project was conducted in the general surgery ward of a tertiary hospital. The intervention included systematic identification of high-risk patients, standardized preventive nursing protocols, nurse training, and caregiver education. Outcomes assessed before and after implementation included IAD incidence and severity among high-risk patients, nursing staff knowledge, caregiver compliance with preventive measures, and incontinence-related pressure injuries.</p><p><strong>Results: </strong>At baseline, 110 patients were assessed, including 11 high-risk patients, of whom 3 developed IAD (27.3%). After implementation, 122 patients were assessed, including 16 high-risk patients, with 1 case of IAD (6.3%), an absolute reduction of 21.0%. Grade 2 IAD decreased from 9.1% to 0%. Nursing staff knowledge increased from 66.7% to 94.1%, and caregiver compliance improved from 46.7% to 87.5%. No incontinence-related pressure injuries occurred during the intervention period (baseline incidence: 1.34%). All outcomes met or exceeded predefined QI targets.</p><p><strong>Conclusions: </strong>A structured, nurse-driven QI system implemented in a general surgery ward was associated with reduced IAD incidence and severity and improved nursing practice and caregiver adherence, supporting the value of risk-based, standardized prevention strategies in general surgery settings.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148872625","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":"Evaluation of an Innovative Incisional Dressing With Closed Incisional Negative Pressure Wound Therapy System in Healthy Volunteers Through Evaluation of Dressing Survivability, Adverse Reactions, User Tolerability, and Comfort: A Self-controlled Randomized Trial in Healthy Volunteers.","authors":"Jennifer Stocks, Kelly Nunn, Casey Young Carter, Timothy Oetter, Ethan Valentine, Jonathan Matthew Cayce","doi":"10.1097/ASW.0000000000000525","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000525","url":null,"abstract":"<p><strong>Objective: </strong>This study compared an innovative closed-incision negative pressure wound therapy (ciNPWT) system with the leading control system in healthy volunteers simulating recovery from total knee arthroplasty. The new system combines a single-use NPWT device with an incisional dressing designed to reduce skin irritation and blistering. Outcomes included dressing survivability, skin irritation, discomfort, and nuisance.</p><p><strong>Methods: </strong>Healthy volunteers aged 40 to 80 were recruited. After surgical skin preparation, each participant had one knee randomized to the evaluated system and the other to the control system. Participants wore both systems for up to 7 days unless an adverse event occurred. Discomfort and tolerance were rated daily on a 10cm Visual Analog Scale, and a blinded clinician assessed skin irritation at dressing removal using a standardized scale.</p><p><strong>Results: </strong>Sixteen healthy volunteers participated. Dressing survivability did not differ significantly between systems (P = .081). The evaluated system produced lower skin irritation scores than the control system (P = .015; 95% CI, -5 to -1). Continuous ordinal regression showed lower discomfort with the evaluated system on days 5 to 7 and lower nuisance on day 7.</p><p><strong>Conclusions: </strong>The ciNPWT system provided similar dressing survivability while reducing adverse skin reactions.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148872591","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":"Copper Dressing Application Results in Increased Oxygen Levels in Wound and Surrounding Skin: A Case Series Study.","authors":"Alexandra H J Janssen, Yvonne H P Siebers","doi":"10.1097/ASW.0000000000000476","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000476","url":null,"abstract":"<p><strong>Objective: </strong>Hard-to-heal wounds affect 1% to 2% of the population in resource-rich countries, with increasing incidence due to aging and comorbidities such as diabetes. Copper oxide-impregnated wound dressings promote wound healing, including among hard-to-heal, noninfected, stagnated wounds. This study sought to assess the effects of copper oxide-impregnated dressings on oxygen saturation levels in wounds and surrounding skin using hyperspectral imaging.</p><p><strong>Methods: </strong>A prospective case series involving 15 patients with chronic wounds was conducted across 2 hospitals. Hyperspectral imaging measured superficial (stO2) and deep (near-infrared) tissue oxygenation pre- and postapplication of copper dressings.</p><p><strong>Results: </strong>Superficial oxygen saturation increased significantly in 75% of wounds (stO2 mean change: 53.0% to 56.9%; P<.05). In the focal center of the wounds, the increase of stO2 was even higher (stO2 mean change: 51.6% to 60.0%; P<.05). Deep tissue oxygenation improved in 50% of cases.</p><p><strong>Conclusions: </strong>Copper oxide-impregnated dressings significantly increased wound oxygenation, suggesting a potential mechanism for enhanced healing in hard-to-heal wounds. Further research is warranted to optimize protocols and confirm findings.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148872609","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":"Functional Wound Recovery in Amniotic Band Syndrome Via Personalized 3D Biomodels: The Case of the Ballet Dancer.","authors":"Miguel A Ceccarelli, Regina C Schechtman, Heron Werner, Clarissa Canella, Sueli Carneiro","doi":"10.1097/ASW.0000000000000489","DOIUrl":"10.1097/ASW.0000000000000489","url":null,"abstract":"<p><strong>Objective: </strong>To describe the clinical, imaging, and functional outcomes of a personalized magnetic resonance imaging (MRI)-based 3D-printed prosthesis for pressure redistribution and pain reduction in a ballet dancer with amniotic band syndrome (ABS).</p><p><strong>Methods: </strong>A 14-year-old ballet dancer with ABS and recurrent toe ulcerations, pain, and nail deformities underwent high-resolution 3T MRI for anatomic assessment and 3D reconstruction. Volumetric data were processed using MeshLab and 3ds Max to design customized prosthetic shells tailored to ballet biomechanics and pressure points. Devices were fabricated using elastic photopolymer resin. Clinical outcomes were assessed over 1 year using the Visual Analog Scale (VAS) for pain and the Foot and Ankle Ability Measure (FAAM) for function.</p><p><strong>Results: </strong>MRI identified complex congenital forefoot abnormalities and a rudimentary ectopic nail matrix. A conservative approach managed the suspected infection with a favorable response. The customized prosthesis enabled redistribution of pressure and improved tolerance to pointe activity. VAS pain scores improved from 10/10 to 7/10. FAAM Activities of Daily Living increased from 45% to 82.5%, and FAAM-Sports from 12.5% to 70.8%, both exceeding minimal clinically important differences. The patient reported high satisfaction (9/10), resumed ballet training, and had no lesion recurrence at 1 year.</p><p><strong>Conclusions: </strong>MRI-guided 3D-printed prostheses offer a feasible, low-cost, and effective strategy for managing complex biomechanical challenges in ABS, particularly in high-demand patients such as dancers. This approach supports functional recovery, pain reduction, and the prevention of recurrent soft-tissue injury.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"440-443"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148256990","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}