CONTENTS MAY 2014 Editorial and opinion


Adapting policies and guidelines makes good sense Page 5 Suzie Calne discusses how policies, guidelines and campaigns in wound care developed around the world can be adapted to fit local needs.


EDITOR Suzie Calne


MANAGING EDITOR Lindsey Mathews


GROUP MANAGING EDITOR Edda Hendry


PUBLISHER Kathy Day


PUBLISHING DIRECTOR Rob Yates


EDITORIAL If you want to discuss an idea, contact the Editor at scalne@woundsgroup.com or write to Suzie Calne, Wounds International, 1–2 Hatfields, London SE1 9PG, UK


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Clinical innovations


International Wound Infection Institute: Leaders in wound infection understanding, prevention and management Page 6 Terry Swanson and Keryln Carville provide background on the founding, mission, committee and recent activities of the International Wound Infection Institute.


New Zealand’s 2013 STOP Pressure Injury Day Campaign:


Successes of the New Zealand Wound Care Society Page 10 Carol Tweed and Paula McKinnel describe how the New Zealand Wound Care Society adapted a campaign to reduce the incidence of avoidable pressure ulceration.


Ten Top Tips


Using negative pressure wound therapy effectively Page 13 Negative pressure wound therapy is an important addition to the wound care clinician’s toolbox, and Peter Vowden draws on current evidence and expert consensus opinion to provide tips for optimal outcomes using this modality.


Preventing orthopaedic surgery-related wound blisters Page 16 Postsurgical blistering can cause pain, wound leakage, delayed healing and increase the risk of postoperative surgical-site infection. Warren Gillibrand provides tips on the prevention of these wounds.


Understanding and managing wound biofilm Page 20 Researchers and clinicians are becoming increasingly convinced that biofilms play a key role in chronic nonhealing wounds. International Wound Infection Institute committee members David Keast, Terry Swanson, Keryln Carville, Jacqui Fletcher, Greg Schultz and Joyce Black provide tips to aid the understanding and management of these complex structures.


Case report


Pyoderma gangrenosum associated with melanoma Page 25 Caroline Carøe and Karsten Fogh report a case of pyoderma gangrenosum – a rare, neutrophilic dermatosis – associated with malignant melanoma.


Expert commentary Page 27 Following the case report on pyoderma gangrenosum, Joon Pio Hong provides an expert commentary on this complex condition.


Technology and product review


Sciatic nerve block: A useful procedure for diabetic foot surgery Page 28 Florian Heid, Robert Kampka, Gunther Pestel and Tim Piepho present a description of a peripheral nerve block procedure as an alternative to general anaesthesia in patients with diabetes undergoing lower-limb surgery.


Wound digest Page 31 A summary of important papers on wound-related research. 2 Wounds International Vol 5 | Issue 2 | ©Wounds International 2014 | www.woundsinternational.com


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