Author:

Abstract

The pathogenesis of chronic wounds is complex resulting in major difficulties in the management of such wounds. Diabetes mellitus, venous ulceration and pressure sores contribute to the rapidly increasing burden of chronic wounds, not only to the patient but also to the health care system. Improved understanding of the factors which contribute to non healing of wounds and application of appropriate management modalities, including a multidisciplinary team approach would help reduce the time for healing of such wounds. Colonization and infection of chronic wounds is only one component of the pathogenesis which however requires access to a modern microbiology laboratory. The setting up of chronic wound clinics in 3 hospitals in Sri Lanka may provide a model for improving the outcome of such wounds in a relatively under resourced setting.

DOI: http://dx.doi.org/10.4038/sljid.v3i2.5918

Sri Lankan Journal of Infectious Diseases 2013; Vol.3(2):2-16

Keywords: chronic wounds, pathogenesis, repair, microbiology