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dc.contributor.authorAlisha R. Oropallo
dc.contributor.authorCharles Andersen
dc.contributor.authorRaymond Abdo
dc.contributor.authorJenny Hurlow
dc.contributor.authorMartha Kelso
dc.contributor.authorMark Melin
dc.contributor.authorThomas E. Serena
dc.contributor.otherComprehensive Wound Healing Center and Hyperbarics, Department of Vascular Surgery, Zucker School of Medicine Hofstra/Northwell, Hempstead, NY 11549, USA
dc.contributor.otherWound Care Clinic, Madigan Army Medical Center Joint Base Lewis-McChord, Renton, WA 98431, USA
dc.contributor.otherSt. Louis Foot & Ankle, LLC., St. Louis, MO 63109, USA
dc.contributor.otherConsultant Wound Care Specialized Nurse Practitioner, Memphis, TN 37501, USA
dc.contributor.otherWound Care Plus, LLC., Blue Springs, MO 64015, USA
dc.contributor.otherM Health Fairview Wound Healing Institute, South Campus, Edina, MN 55435, USA
dc.contributor.otherSerenaGroup Research Foundation, 125 Cambridge Park Dr., Cambridge, MA 02140, USA
dc.date.accessioned2021-07-23T14:37:12Z
dc.date.available2025-10-02T03:18:06Z
dc.date.issued01-07-2021
dc.identifier.issn-
dc.identifier.urihttps://www.mdpi.com/2075-4418/11/7/1219
dc.description.abstractExcessive 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.
dc.format-
dc.language.isoEN
dc.publisherMDPI AG
dc.relation.uri['https://journal.unnes.ac.id/journals/eduart/about#authorGuidelines', 'https://journal.unnes.ac.id/journals/eduart', 'https://journal.unnes.ac.id/journals/eduart/about#focusandScope']
dc.rightsCC BY
dc.subject['fine arts education', 'Visual arts', 'N1-9211', 'Arts in general', 'NX1-820', 'Decorative arts', 'NK1-9990']
dc.subject.lccMedicine (General)
dc.titleGuidelines for Point-of-Care Fluorescence Imaging for Detection of Wound Bacterial Burden Based on Delphi Consensus
dc.typeArticle
dc.description.keywordsfluorescence imaging
dc.description.keywordsbacteria
dc.description.keywordswound care
dc.description.keywordsMolecuLight
dc.description.keywordsDelphi method
dc.description.keywordsconsensus
dc.description.pages-
dc.description.doi10.3390/diagnostics11071219
dc.title.journalDiagnostics
dc.identifier.e-issn2075-4418
dc.identifier.oaioai:doaj.org/journal:a6147d34cd8842feabcd4c9fa2714740
dc.journal.infoVolume 11, Issue 7


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