Current best practices in wound care: an evidence-based and patient-centered approach
DOI:
https://doi.org/10.18203/2349-2902.isj20254352Keywords:
Wound care, Wound bed preparation, Infection control, Dressing selection, Advanced wound therapies, Multidisciplinary managementAbstract
Optimal wound care requires an integrated, evidence-based strategy that combines accurate clinical assessment, systematic wound bed preparation, appropriate dressing selection, infection control, and the selective use of advanced therapies. Contemporary guidelines emphasize the importance of identifying the underlying etiology of wounds, optimizing local and systemic conditions for healing, and tailoring interventions to individual patient needs. This narrative review summarizes current best practices in wound care, highlighting evidence-supported principles for assessment, cleansing, dressing selection, infection management, offloading, revascularization, and adjunctive therapies within a multidisciplinary and patient-centered framework.
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References
Haxho F, Lytvyn Y, Shelley AJ, Alex O, Mark M, Afsaneh A, et al. Wound Care-Part I: A Practical Approach to Local Wound Care and Dressing Selection. J Am Acad Dermatol. 2025; S0190-9622(25)02374-6. DOI: https://doi.org/10.1016/j.jaad.2025.02.103
Gornik HL, Aronow HD, Goodney PP, Philip PG, Shipra A, Luke PB, et al. 2024 ACC/AHA Guideline for the Management of Lower Extremity Peripheral Artery Disease. J Am Coll Cardiol. 2024;83(24):2497-604. DOI: https://doi.org/10.1016/j.jacc.2024.02.013
Alam W. Wound Bed Preparation and Treatment Modalities. Clin Geriatr Med. 2024;40(3):375-84. DOI: https://doi.org/10.1016/j.cger.2023.12.011
Hewett Brumberg EK, Douma MJ, Alibertis K, Nathan PC, Michael PG, Harper-Kirksey K, et al. 2024 American Heart Association and American Red Cross Guidelines for First Aid. Circulation. 2024;150(24):e519-79. DOI: https://doi.org/10.1161/CIR.0000000000001281
Saeg F, Schoenbrunner AR, Janis JE. Evidence-Based Wound Irrigation: Separating Fact From Fiction. Plast Reconstr Surg. 2021;148(4):601e-14e. DOI: https://doi.org/10.1097/PRS.0000000000008331
Armstrong DG, Tan TW, Boulton AJM, Bus SA. Diabetic Foot Ulcers: A Review. JAMA. 2023;330(1):62-75. DOI: https://doi.org/10.1001/jama.2023.10578
Standards of Care in Diabetes-2025: Retinopathy, Neuropathy, and Foot Care. Diabetes Care. 2025;48(1):S252-65. DOI: https://doi.org/10.2337/dc25-S012
van Rijswijk L, Gray M. Evidence, research, and clinical practice: a patient-centered framework for progress in wound care. J Wound Ostomy Continence Nursing. 2012;39(1):35-44. DOI: https://doi.org/10.1097/WON.0b013e3182383f31
Gethin G, Probst S, Stryja J, Christiansen N, Price P. Evidence for person-centred care in chronic wound care: a systematic review and recommendations for practice. J Wound Care. 2020;29(9b):S1-22. DOI: https://doi.org/10.12968/jowc.2020.29.Sup9b.S1
Engle RL, Mohr DC, Holmes SK, Seibert MN, Afable M, Leyson J, et al. Evidence-based practice and patient-centered care: doing both well. Health Care Manag Rev 2021;46(3):174-84. DOI: https://doi.org/10.1097/HMR.0000000000000254
Kim WM. From evidence-based medicine to patient-centered care. Korean J Anesthesiol. 2023;76(4):265-6. DOI: https://doi.org/10.4097/kja.23543
Gould LJ, Liu J, Wan R, Carter MJ, Dotson M, Driver VR. Evidence supporting wound care end points relevant to clinical practice and patients' lives. Part 3: The Patient Survey. Wound Repair Regeneration. 2021;29(1):60-9. DOI: https://doi.org/10.1111/wrr.12872
Maguire J. Evaluation of Patient-Centered Integrated Wound Team in Nursing Homes (Doctoral dissertation, Walden University). 2023.
Wahyuningtyas ES. Your patients need your patience: A closer look at wound care. J Holistic Nursing Sci. 2025;12(2):165-71. DOI: https://doi.org/10.31603/jhns.v12i2.13864
Cudney EA, Reynolds Kueny C, Murray SL. Analyzing patient satisfaction in a rural wound care center. The TQM J. 2024;36(4):1074-91. DOI: https://doi.org/10.1108/TQM-08-2022-0273
Mahmoudi M, Gould LJ. Opportunities and challenges of the management of chronic wounds: a multidisciplinary viewpoint. Chronic Wound Care Management Res. 2020;7:27-36. DOI: https://doi.org/10.2147/CWCMR.S260136
Jaul E. Multidisciplinary and comprehensive approaches to optimal management of chronic pressure ulcers in the elderly. Chronic Wound Care Management Res. 2024;1:3-9. DOI: https://doi.org/10.2147/CWCMR.S44809
Eriksson E, Liu PY, Schultz GS, Martins‐Green MM, Tanaka R, Weir D, et al. Chronic wounds: Treatment consensus. Wound Repair Regeneration. 2022;30(2):156-71. DOI: https://doi.org/10.1111/wrr.12994
Bryant R, Nix D. Acute and chronic wounds: current management concepts. Elsevier Health Sciences. 2015.
Stern A, Mitsakakis N, Paulden M, Alibhai S, Wong J, Tomlinson G, et al. Pressure ulcer multidisciplinary teams via telemedicine: a pragmatic cluster randomized stepped wedge trial in long term care. BMC Health Services Res. 2014;14(1):83. DOI: https://doi.org/10.1186/1472-6963-14-83
Bowler PG, Duerden BI, Armstrong DG. Wound microbiology and associated approaches to wound management. Clin Microbiol Rev. 2001;14(2):244-69. DOI: https://doi.org/10.1128/CMR.14.2.244-269.2001
Keast DH, Bowering CK, Evans AW, Mackean GL, Burrows C, D'souza L. Contents: MEASURE: A proposed assessment framework for developing best practice recommendations for wound assessment. Wound Repair Regeneration. 2004;12:s1-17. DOI: https://doi.org/10.1111/j.1067-1927.2004.0123S1.x
Schultz GS, Sibbald RG, Falanga V, Ayello EA, Dowsett C, Harding K, et al. Wound bed preparation: a systematic approach to wound management. Wound Repair Regeneration. 2003;11:S1-28. DOI: https://doi.org/10.1046/j.1524-475X.11.s2.1.x
Olutoye OO, Eriksson E, Menchaca AD, Kirsner RS, Tanaka R, Schultz G, et al. Management of acute wounds-expert panel consensus statement. Adv Wound Care. 2024;13(11):553-83. DOI: https://doi.org/10.1089/wound.2023.0059
Hsia HC, Eriksson E, Gurtner GC, Veves A, Hamdy O, Margolis DJ, et al. Management of diabetic wounds: expert panel consensus statement. Adv Wound Care. 2025;NA.