[Systematic management of chronic wounds employing the TIME concept].
The notion that chronic wounds are merely a variant of acute wounds is obsolete. The pathophysiology of chronic wounds differs in essence from that of acute wounds. The former is a specific pathological entity that requires both a systematic disease-specific diagnostic work-up and treatment. For the diagnosis and treatment of chronic wounds, the Wound Bed Preparation Advisory Board has proposed a new conceptthat goes bythe acronym of TIME, the letters of which refer to the structures to be diagnosed and treated: T = tissue, I = inflammation or infection, M = moisture (wound exudate), E = edge (of the wound). The present article discusses the principles and scientific background to this TIME concept.
Vanscheidt
W
W
Dermatologische Praxisgemeinschaft Freiburg. WolfgangVanscheidt@t-online.de
Ukat
A
A
Hauss
F
F
D000891:Anti-Infective Agents, Local / Q000008:administration & dosage; D001458:Bandages; D002908:Chronic Disease; D003131:Combined Modality Therapy; D019091:Critical Pathways; D003646:Debridement; D005122:Exudates and Transudates / Q000378:metabolism; D006801:Humans; D007507:Therapeutic Irrigation; D014945:Wound Healing / Q000502:physiology; D014946:Wound Infection / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D014947:Wounds and Injuries / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*
D000891:Anti-Infective Agents, Local