Infection following soft tissue injury: its role in wound healing.
OBJECTIVE
Wound infection has always been an unconquered problem temporarily improved with the discovery of antibiotics but now struggling with an epidemic of resistant organisms. Wound healing has become a popular sub-speciality for the doctor and allied health professional working in the laboratory or at the bedside. It is a field with many new journals and frequent congresses that publish elaborate proceedings. These have been examined for this review.


RESULTS
Measurement of infection remains elusive. A clear difference between contamination and infection is difficult to delineate. In the era of the HIV/AIDS epidemic attention is drawn to host factors, which when attended to are as effective in suppressing infection as antisepsis. The bacterial capacity to put on a protective coat known as biofilm is a newly investigated system.


CONCLUSIONS
Antisepsis and antibiotics continue to provide a wealth of studies and some new technology. The evidence base, as examined by Cochrane systematic reviews, suggests that our strategy for preventing and dealing with infection of wounds needs further refinement.
Ryan
Terence J
TJ
Oxford International Wound Healing Foundation, Oxford, UK. oxfordwound@aol.com
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000985:Antisepsis / Q000379:methods; D018441:Biofilms; D003646:Debridement; D006801:Humans; D007113:Immunity, Innate / Q000502:physiology; D018461:Soft Tissue Infections / Q000188:drug therapy* / Q000209:etiology; D017695:Soft Tissue Injuries / Q000150:complications / Q000382:microbiology*; D014945:Wound Healing / Q000502:physiology*; D014946:Wound Infection / Q000188:drug therapy / Q000382:microbiology* / Q000503:physiopathology
D000900:Anti-Bacterial Agents