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- Title
Wound bed preparation 2024: Delphi consensus on foot ulcer management in resource-limited settings.
- Authors
Smart, Hiske; Sibbald, R. Gary; Goodman, Laurie; Ayello, Elizabeth A.; Jaimangal, Reneeka; Gregory, John H.; Sadanori Akita; Alavi, Afsaneh; Armstrong, David G.; Arputhanathan, Helen; Bruwer, Febe; Caul, Jeremy; Chan, Beverley; Cronje, Frans; Dofitas, Belen; Hamed, Jassin; Harley, Catherine; Heil, Jolene; Hill, Mary; Jahnke, Devon
- Abstract
Background Chronic wound management in low-resource settings deserves special attention. Rural or underresourced settings (ie, those with limited basic needs/healthcare supplies and inconsistent availability of interprofessional team members) may not be able to apply or duplicate best practices from urban or abundantly resourced settings. Objective The authors linked world expertise to develop a practical and scientifically sound application of the wound bed preparation model for communities without ideal resources. Methods A group of 41 wound experts from 15 countries reached a consensus on wound bed preparation in resource- limited settings. Results Each statement of 10 key concepts (32 substatements) reached more than 88% consensus. Conclusions The consensus statements and rationales can guide clinical practice and research for practitioners in low-resource settings. These concepts should prompt ongoing innovation to improve patient outcomes and healthcare system efficiency for all persons with foot ulcers, especially persons with diabetes.
- Subjects
CONSENSUS (Social sciences); MIDDLE-income countries; PAIN measurement; DISEASE management; TRAUMATOLOGY diagnosis; FOOT ulcers; INFECTION; NEGATIVE-pressure wound therapy; PATIENT-centered care; DIABETIC foot; ELECTRIC stimulation; PAIN management; BACTERICIDES; WOUND care; RESOURCE-limited settings; DELPHI method; DEBRIDEMENT; INFLAMMATION; HEALTH outcome assessment; QUALITY assurance; CHRONIC wounds &; injuries; LOW-income countries; ACTIVITIES of daily living; DISEASE complications
- Publication
World Council of Enterostomal Therapists Journal, 2024, Vol 44, Issue 1, p13
- ISSN
0819-4610
- Publication type
Article
- DOI
10.33235/wcet.44.1.13-35