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Guidelines

Guidelines for Point-of-Care Fluorescence Imaging for Detection of Wound Bacterial Burden Based on Delphi Consensus

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Comprehensive Wound Healing Center and Hyperbarics, Department of Vascular Surgery, Zucker School of Medicine Hofstra/Northwell, Hempstead, NY 11549, USA
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Wound Care Clinic, Madigan Army Medical Center Joint Base Lewis-McChord, Renton, WA 98431, USA
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St. Louis Foot & Ankle, LLC., St. Louis, MO 63109, USA
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Consultant Wound Care Specialized Nurse Practitioner, Memphis, TN 37501, USA
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Wound Care Plus, LLC., Blue Springs, MO 64015, USA
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M Health Fairview Wound Healing Institute, South Campus, Edina, MN 55435, USA
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SerenaGroup Research Foundation, 125 Cambridge Park Dr., Cambridge, MA 02140, USA
*
Author to whom correspondence should be addressed.
Academic Editor: Francesco Sessa
Diagnostics 2021, 11(7), 1219; https://doi.org/10.3390/diagnostics11071219
Received: 10 June 2021 / Revised: 28 June 2021 / Accepted: 29 June 2021 / Published: 6 July 2021
(This article belongs to the Special Issue The Rise of Diagnostics in the Treatment of Chronic Wounds)
Excessive levels of bacteria impede wound healing and can lead to infectious complications. Unfortunately, clinical signs and symptoms of elevated bacterial burden are often unreliable. As a result, point--of--care fluorescence imaging, used to detect critical bacterial burden in wounds, is becoming widely recognized and adopted by clinicians across the globe as an accepted and added component of wound assessment protocol. A Delphi method was employed to establish consensus guidelines describing fluorescence imaging use. A multidisciplinary panel of 32 wound experts (56% MD, 22% podiatrist, 12.5% nurses/nurse practitioners) representing multiple sites of service (e.g., hospital outpatient, inpatient, private office, long-term care) completed two rounds of online questionnaires. The Delphi included key topics, including competencies required to perform imaging, clinical indications for imaging (e.g., signs/symptoms present, procedures warranting imaging), frequency of imaging, and a clinical workflow algorithm. Describing their clinical experiences of imaging impact, >80% reported changes in treatment plans, 96% reported that imaging-informed treatment plans led to improved wound healing, 78% reported reduced rates of amputations, and 83% reported reduced rates of microbiological sampling. The guidelines provided here will help to standardize use of fluorescence imaging among wound care providers and enhance the quality of patient care. View Full-Text
Keywords: fluorescence imaging; bacteria; wound care; MolecuLight; Delphi method; consensus; guidelines fluorescence imaging; bacteria; wound care; MolecuLight; Delphi method; consensus; guidelines
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MDPI and ACS Style

Oropallo, A.R.; Andersen, C.; Abdo, R.; Hurlow, J.; Kelso, M.; Melin, M.; Serena, T.E. Guidelines for Point-of-Care Fluorescence Imaging for Detection of Wound Bacterial Burden Based on Delphi Consensus. Diagnostics 2021, 11, 1219. https://doi.org/10.3390/diagnostics11071219

AMA Style

Oropallo AR, Andersen C, Abdo R, Hurlow J, Kelso M, Melin M, Serena TE. Guidelines for Point-of-Care Fluorescence Imaging for Detection of Wound Bacterial Burden Based on Delphi Consensus. Diagnostics. 2021; 11(7):1219. https://doi.org/10.3390/diagnostics11071219

Chicago/Turabian Style

Oropallo, Alisha R., Charles Andersen, Raymond Abdo, Jenny Hurlow, Martha Kelso, Mark Melin, and Thomas E. Serena 2021. "Guidelines for Point-of-Care Fluorescence Imaging for Detection of Wound Bacterial Burden Based on Delphi Consensus" Diagnostics 11, no. 7: 1219. https://doi.org/10.3390/diagnostics11071219

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