Management of Highly Exuding Wounds and Biofilm

Management of Highly Exuding Wounds and Biofilm

Exudate can be problematic for many patients because it causes tissue damages and decreases the quality of life. When there is no adequate wound management and quality dressing choices, it will result in delayed healing. Excessive volumes exudate leads to biofilm formation, which can also delay wound healing (Atkin, Stephenson, and Cooper, 2020, p. 382). Many factors lead to the production of excessive exudate. It includes the wound’s size and position, underlying condition that increases capillary leakages, pathology of the wound, medications such as steroids, availability of edema, increased bacterial burden, and lymphatic functioning failures. It is essential to manage high exudate wounds as well as biofilm formation.

The crucial step for managing high exudate wounds and biofilm formation is a thorough assessment. The assessment procedure includes the clear elaboration of the type and quantity of exudate and identifying the main reasons. The assessment will be utilized to create an accurate treatment plan (Barrett, Rippon, and Rogers, 2020, p. 345). The availability of wounds indicates wound infection, an underlying bleeding disorder, trauma, and discharge. All this information and the use of appropriate terms will be used in choosing the right medications.

The main approach of managing high exudate wounds and biofilm formation is dressing selection. Multiple dressings have distinct elements and material utilized differ in their capability to handle fluids. The suitable dressing characteristics that will manage a large quantity of exudate include a highly absorbent material, eradicate leakages between dressing variations, hinder strikethrough, and offer maceration and excoriation protection. The material utilized also should be utilized under compression, stay intact. It can be left under the wound for a long time and be in a position to reduce trauma and pain while removing the material. It should also be less expensive and comfortable. Apart from proper dressing selection, wound drainage bags, and vacuum-assisted closure is required because it will collect a large quantity of exudate.

Additionally, a wound that has biofilm infection needs treatment that does not damage the healing mechanism. Treatment choices include wide-spectrum antibiotics, topical agents, and debridement. All these medications should be utilized concurrently instead of consecutively. Debridement will remove biofilm partially and will result in the expression of genes that will raise virulence. The biofilm will become adaptive and more active. Thus, an intensive approach to managing biofilm is needed, and it should be a repetitive debridement at least once each week (Beldon, 2016 p. 34). Fast removal of exudate from the would stop biofilm formation, and there will be less utilization of nutrients in the biofilm.

Another strategy of managing high exudate would and biofilm is through appropriate wound cleansing. Wound cleansing is performed to eradicate contaminants, debris, dressing remains, and superficial slough. It is recommended to utilize tap water or sterile water. Scrubbing of the wound is not recommended because it will lead to trauma (Bowler and Parsons, 2016, p. 9). Required antiseptics for wound cleaning consist of alcohol, oxidative, phenols, quinidine, and quaternary ammonium compounds.

Patient preference should also be considered, especially if the patient understands the treatment plan’s integral strategies. Some patients may have medical, social, and psychological requirements that may go against the wound’s proposed management. All medical practitioners should collaborate to determine the best care that reflects the client’s requirements (Curtis, 2020, p. 78). This type of holistic strategy to exudate and biofilm management is essential and will result in patient concordance.

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