Fluorescent Imaging for Bacterial Wound Load
Wounds that we help heal
- Arterial Insufficiency
- Diabetic Ulcers
- Non Healing Traumatic Wounds
- Pressure Ulcers
- Venous Insufficiency See some actual Case Studies and Results below
Guidelines for Point-of-Care Fluorescence Imaging for Detection of Wound Bacterial Burden Based on Delphi Consensus
Some excerpts from this Delphi Consensus:
A clinical workflow (Figure 2) algorithm, based on prior publications demonstrating the benefit of similar fluorescence workflows in promoting healing [23,24], was developed. Iterative loops are a key component of the algorithm: images provide real-time feedback and assist in determining the effectiveness of wound care procedures such as cleansing and debridement. The clinical actions in the workflow and the multiple opportunities for assessment and interpretation enable clinicians to provide comprehensive care.
Respondents agreed with the processes included in the clinical algorithm, with 81.3% of respondents indicating ‘agree’ or ‘strongly agree’ after Round 1. After Round 2, 93.5% of respondents indicated agreement. Many experts commented that the sequence of steps outlined in the workflow accurately represented their decision-making process and that fluorescence imaging “provides important information guiding clinical management decisions and testing”. Specifically, one respondent indicated “this workflow includes everything needed in the plan of care for a patient from assessment to education”.
All participants agreed that the clinical algorithm described in Figure 2 may be used on a variety of wound types. There was 100% agreement among all 32 experts on use of this imaging procedure to assess diabetic foot ulcers. Similarly, high levels of agreement (80–97%) were obtained for other common chronic and acute wounds (Table 3). In addition to this list, there are less commonly occurring wounds (e.g., pilonidal sinus, pyoderma gangrenosum) for which a point-of-care diagnosis of bacterial presence and location, or absence, would have high clinical value [32,33].
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