Abstract
Chronic wounds including vascular ulcers, diabetic ulcers, pressure ulcers, and burn wounds show delayed progress through the healing process. Some of their common features are prolonged inflammation, persistent infection, and presence of biofilms resistant to antimicrobials and host immune response. Biofilm formation by opportunistic pathogens is a major problem in chronic wound management. Some of the commonly and traditionally used chronic wound management techniques are physical debridement and cleansing. In recent years, novel techniques based on anti-biofilm agents are explored to prevent biofilm-associated infections and facilitate wound healing. In this chapter, the role of biofilms formed by the ESKAPE pathogens (Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa) and Candida species in delayed wound healing have been discussed. The current and emerging techniques in the detection of biofilms for the management of wounds have been focused. The limitations of the existing therapeutics and novel wound management strategies have been deliberated.
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Acknowledgments
The authors acknowledge the support of Special Interest Group on Biofilms in Clinical Settings and their Control, JSS Academy of Higher Education and Research, Mysore.
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JBA, PR, and SHM drafted the manuscript. The manuscript was conceived, reviewed, and supervised by JBA, SGS, and RRV. All authors read and approved the final manuscript.
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Aswathanarayan, J.B., Rao, P., HM, S., GS, S., Rai, R.V. (2022). Biofilm-Associated Infections in Chronic Wounds and Their Management. In: Donelli, G. (eds) Advances in Microbiology, Infectious Diseases and Public Health. Advances in Experimental Medicine and Biology(), vol 1434. Springer, Cham. https://doi.org/10.1007/5584_2022_738
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