Editor Selma Maloumi selma.maloumi@markallengroup.com Chief Sub Editors Brian Cooper Lindsey Stewar t Consultant Editor Tracy Cowan Commercial Manager Emma Blick emma.blick@markallengroup.com Circulation Director Sally Boettcher sally.boettcher@markallengroup.com Production Manager Kyri Apostolou Production Assistant Charlotte Rutland Associate Publisher Sophie Gardner Publishing Director Andrew Iafrati Managing Director Anthony Kerr anthony.kerr@markallengroup.com Chief Executive Officer Ben Allen JWC is available in many libraries and is indexed on several databases, including: • Science Citation Index Expanded and

Current Contents/Clinical Medicine from Thomson Reuters • MEDLINE National Librar y of Medicine • CINAHL The Cumulative Index to

Nursing and Allied Health Literature • RCN The Royal College of Nursing

Librar y Nursing Bibliography • HINARI Access to Research in

Health Programme, par t of the Research4Life initiative

Cover picture: Stairs spiral inside the lighthouse Copyright holder: Adobe Stock/Oligo This year’s cover theme is ‘Architecture’.

the monthly international wound-care journal

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JOURNAL OF WOUND CARE VOL 32, NO 5, MAY 2023 261 261 Meet us at the EWMA 2023 Conference in Milan. Wound care–from art to Meet us at the EWMA 2023 Conference in Milan. Wound care–from art to science science  Sebastian Probst Sebastian Probst 262 262 The science and art of holistic wound care  The science and art of holistic wound care  Laura Stefanon Laura Stefanon 264 264 A new algorithm for the management of diabetic foot ulcer: recommendations A new algorithm for the management of diabetic foot ulcer: recommendations from Central and Eastern Europe  from Central and Eastern Europe  Following a series of regional advisory board Following a series of regional advisory board meetings with experts from Poland, the Czech Republic, Hungary and Croatia, this meetings with experts from Poland, the Czech Republic, Hungary and Croatia, this paper presents consensus recommendations and outlines the key features of a unified paper presents consensus recommendations and outlines the key features of a unified algorithm for dissemination and use as a quick tool in clinical practice in these algorithm for dissemination and use as a quick tool in clinical practice in these regions. regions.  Robert Bem, Paul Chadwick, Ivan Cvjetko, Miroslav Koliba, Zoltan Kokeny, Robert Bem, Paul Chadwick, Ivan Cvjetko, Miroslav Koliba, Zoltan Kokeny, Przemyslaw Lipinski, Beata Mrozikiewicz-Rakowska, Istvan Rozsos, Adam Wegrzynowski Przemyslaw Lipinski, Beata Mrozikiewicz-Rakowska, Istvan Rozsos, Adam Wegrzynowski 273 273 Evidence of bacterial biofilms within acute wounds: a systematic review  Evidence of bacterial biofilms within acute wounds: a systematic review  A A summary of the evidence for biofilm formation within acute wounds. An electronic summary of the evidence for biofilm formation within acute wounds. An electronic search of four databases was carried out, without restrictions on date. Search terms search of four databases was carried out, without restrictions on date. Search terms included ‘bacteria’, ‘biofilm’, ‘acute’ and ‘wound’. included ‘bacteria’, ‘biofilm’, ‘acute’ and ‘wound’.  Bethany L Patenall,   Bethany L Patenall, Joanne D Ridgley, A Toby A Jenkins, Amber E Young Joanne D Ridgley, A Toby A Jenkins, Amber E Young 280 280 Rapidly evolving gangrenous vasculitis in a critically ill patient with ulcerative Rapidly evolving gangrenous vasculitis in a critically ill patient with ulcerative colitis: a case report  colitis: a case report  This report highlights an uncommon dermatological This report highlights an uncommon dermatological complication of ulcerative colitis, with particular focus on patient care and complication of ulcerative colitis, with particular focus on patient care and management.management.  Oloruntobi Rotimi, Tamas Sollei, Baljit Dheansa, David Thomson, Oloruntobi Rotimi, Tamas Sollei, Baljit Dheansa, David Thomson, Nicola White, Caris E Grimes Nicola White, Caris E Grimes 284 284 The performance of clinical risk scores in the diagnosis of necrotising fasciitis The performance of clinical risk scores in the diagnosis of necrotising fasciitis A study of 36 patients which included patient demographics, clinical presentations, A study of 36 patients which included patient demographics, clinical presentations, sites of infection, comorbidities, microbiological and laboratory findings, antibiotic sites of infection, comorbidities, microbiological and laboratory findings, antibiotic therapies, a laboratory risk indicator score for necrotising fasciitis (LRINEC) as well therapies, a laboratory risk indicator score for necrotising fasciitis (LRINEC) as well as modified LRINEC scores. The primary outcome was in-hospital mortality. as modified LRINEC scores. The primary outcome was in-hospital mortality.    Marc Daniels, Walter Perbix, Henrik Oberländer, Jennifer Schiefer, Paul Christian Fuchs, Marc Daniels, Walter Perbix, Henrik Oberländer, Jennifer Schiefer, Paul Christian Fuchs, Harun Seyhan Harun Seyhan 292 292 Effect of supplements/intensive nutrition on pressure ulcer healing: a multicentre, Effect of supplements/intensive nutrition on pressure ulcer healing: a multicentre, randomised controlled study  randomised controlled study  Adult patients with a Stage II or greater PU and Adult patients with a Stage II or greater PU and predicted length of hospital stay of at least seven days were randomised to predicted length of hospital stay of at least seven days were randomised to receive either: standard nutritional care; intensive nutritional care delivered by a receive either: standard nutritional care; intensive nutritional care delivered by a dietitian; or standard care plus provision of a wound healing nutritional formula. dietitian; or standard care plus provision of a wound healing nutritional formula. Relevant nutritional and PU parameters were collected at baseline and then weekly Relevant nutritional and PU parameters were collected at baseline and then weekly or until discharge. or until discharge.  Merrilyn D Banks, Joan Webster, Judy Bauer, Kathleen Dwyer, Merrilyn D Banks, Joan Webster, Judy Bauer, Kathleen Dwyer, Anita Pelecanos, Paula MacDermott, Amy Nevin, Kerrie Coleman, Jill Campbell, Anita Pelecanos, Paula MacDermott, Amy Nevin, Kerrie Coleman, Jill Campbell, Donna Hickling, Angela Byrnes, Sandra Capra Donna Hickling, Angela Byrnes, Sandra Capra 302 302 Wound pH and temperature as predictors of healing: an observational study Wound pH and temperature as predictors of healing: an observational study    This study employed a quantitative non-comparative, prospective, descriptive This study employed a quantitative non-comparative, prospective, descriptive observational design. A total of 97 participants, with both acute and hard-to-heal observational design. A total of 97 participants, with both acute and hard-to-heal (chronic) wounds, were observed weekly for four weeks. Wound pH was measured (chronic) wounds, were observed weekly for four weeks. Wound pH was measured using pH indicator strips, wound temperature was measured using an infrared using pH indicator strips, wound temperature was measured using an infrared camera and wound size was measured using the ruler method. camera and wound size was measured using the ruler method.  Rosemarie Derwin,   Rosemarie Derwin, Declan Patton, Helen Strapp, Zena Moore Declan Patton, Helen Strapp, Zena Moore 312 312 The short-term prognosis of diabetic foot ulceration is independent of nutritional The short-term prognosis of diabetic foot ulceration is independent of nutritional status at admission  status at admission  A single-centre retrospective study evaluating the frequency A single-centre retrospective study evaluating the frequency of malnutrition among 534 patients at first admission and the severity of foot of malnutrition among 534 patients at first admission and the severity of foot ulceration.ulceration.  Florine Feron, Chloé Amouyal, Agnès Hartemann, Georges Ha Van, Florine Feron, Chloé Amouyal, Agnès Hartemann, Georges Ha Van, Olivier Bourron, Anne Dierick-Gallet, Caroline Michaux, Maude Dos Santos, Olivier Bourron, Anne Dierick-Gallet, Caroline Michaux, Maude Dos Santos, Magali Baudot, Gaelle Devaux, Olivier Taboureau, Fabrizio Andreelli Magali Baudot, Gaelle Devaux, Olivier Taboureau, Fabrizio Andreelli 318 318 The role of probiotics as wound healers: an overall view The role of probiotics as wound healers: an overall view  Probiotics have been Probiotics have been receiving much attention because of their potential application in the clinical receiving much attention because of their potential application in the clinical field, especially in diagnostics and treatment strategies of various infectious and field, especially in diagnostics and treatment strategies of various infectious and non-infectious diseases. The host immune-modulatory response and antimicrobial non-infectious diseases. The host immune-modulatory response and antimicrobial activity of probiotics are expanding their role in the development of improved activity of probiotics are expanding their role in the development of improved wound dressing technology. wound dressing technology.  Shanmugaraja Meenakshi, Ramadevi Santhanakumar Shanmugaraja Meenakshi, Ramadevi Santhanakumar 329 329 Letter to the Editor: A useful addition to the mnemonic rule of the three Is: Letter to the Editor: A useful addition to the mnemonic rule of the three Is: ADP—atypical wounds, distension and pressure ulcers  ADP—atypical wounds, distension and pressure ulcers  Alexander Salava, Alexander Salava, Kirsi Isoherranen Kirsi Isoherranen S1– S32 S1– S32 North American Supplement  North American Supplement  A scoping literature review examines the A scoping literature review examines the pathophysiology of oedema in the ischaemic and post-revascularised limb, pathophysiology of oedema in the ischaemic and post-revascularised limb, compares compression stockings to pneumatic compression devices, and compares compression stockings to pneumatic compression devices, and summarises compression regimens in patients with severe peripheral artery summarises compression regimens in patients with severe peripheral artery disease; a review describes events that affect the viability of cells at the burn disease; a review describes events that affect the viability of cells at the burn wound site resulting in burn wound conversion and identifies potential targets for wound site resulting in burn wound conversion and identifies potential targets for clinical interventions that may diminish burn wound conversion; a randomised clinical interventions that may diminish burn wound conversion; a randomised controlled trial of 38 patients undergoing elective knee arthroscopy, using two controlled trial of 38 patients undergoing elective knee arthroscopy, using two portals, compares two closure techniques: approximation of the skin with a micro- portals, compares two closure techniques: approximation of the skin with a microanchor skin dressing or an absorbable suture and liquid bonding agent skin; and a anchor skin dressing or an absorbable suture and liquid bonding agent skin; and a description of a novel debridement technique for use in wounds with vertical edges description of a novel debridement technique for use in wounds with vertical edges or where the tissue in the wound base does not connect to the wound edges. or where the tissue in the wound base does not connect to the wound edges. Research Supplement – online only: Research Supplement – online only: lxiii lxiii Topical delivery of mupirocin calcium nanostructured lipid carriers using a full- Topical delivery of mupirocin calcium nanostructured lipid carriers using a fullthickness excision wound healing model thickness excision wound healing model  Priyanka V Patil, Mala D Menon, Priyanka V Patil, Mala D Menon, Aparna D Palshetkar, Namita D Desai Aparna D Palshetkar, Namita D Desai

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