| Sumario: | Following the implementation of antimicrobial stewardship policies, prescribing antibiotics for non infected, non-healing wounds is now actively discouraged. While this supports the antimicrobial stewardship programme it does not give alternatives for clinicians when faced with non healing and heavily colonised wounds or those with local low-grade infection, including biofilms. Debridement and cleaning of chronic wounds is known to help wound healing by reducing bioburden and the use of dressings with these properties has immense benefits for clinicians, especially in the community. Products capable of continual debridement, cleaning and reducing bioburden are avidly being sought and although many have been tested in vitro, only a few have been validated in vivo. UrgoClean AgTM and UrgoCleanTM are two such products which have been validated and their use described here in two patient case studies where hard to heal wounds showed an excellent improvement after treatment and continued to heal following prolonged periods of wound stasis.
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