Department of Plastic and Reconstructive Surgery, Polytechnical University, School of Medicine, Ancona, Italy.
Department of Clinical and Experimental Medicine, University of Pisa, Azienda Ospedaliera Universitaria Pisana, Pisa, Italy.
Int Wound J. 2022 Aug;19(5):987-995. doi: 10.1111/iwj.13695. Epub 2021 Oct 2.
The COVID-19 pandemic deeply impacted the capacity of the health systems to maintain preventive and curative services, especially for the most vulnerable populations. During the pandemic, the wound healing centres in Italy assisted a significant reduction of the frequency of their hospital admission, since only urgencies, such as severe infections or wound haemorrhagic complications, were allowed to the hospital. The aim of this multidisciplinary work is to highlight the importance of a new pathway of wound care with patient-based therapeutic approach, tailored treatments based on the characteristics of the wound and fast tracks focused on the outpatient management, reserving hospital assessment only for patients with complicated or complex wounds. This analysis highlights the point that patients with chronic wounds need to be critically evaluated in order to find the best and most appropriate care pathway, which should vary according to the patient and, especially, to the characteristics of the wound. Moreover, the most adequate topic antiseptic should be started as soon as possible. An appropriate and correct management of the wound care will allow to link the knowledge based on years of clinical practice with the new challenges and the need to visit patients remotely, when possible.
COVID-19 大流行深刻影响了卫生系统维持预防和治疗服务的能力，尤其是对最脆弱人群的影响。在大流行期间，意大利的伤口愈合中心协助减少了其住院频率，因为只有紧急情况，如严重感染或伤口出血并发症，才被允许住院。这项多学科工作的目的是强调采用以患者为基础的治疗方法的新型伤口护理途径的重要性，根据伤口的特点制定量身定制的治疗方案，并建立侧重于门诊管理的快速通道，仅将医院评估保留给存在复杂或复杂伤口的患者。这一分析强调了一个观点，即需要对慢性伤口患者进行严格评估，以找到最佳和最合适的护理途径，该途径应根据患者，尤其是伤口的特点而有所不同。此外，应尽快开始使用最合适的主题防腐剂。适当和正确的伤口护理管理将使我们能够将基于多年临床实践的知识与新的挑战联系起来，并在可能时需要远程访问患者。
