Healthcare practitioners' perspectives on infection management, antimicrobial resistance and stewardship in wound care practice.
Objective: Antimicrobial resistance (AMR) poses a significant global health threat, particularly in wound care, where non-healing wounds often harbour pathogens that complicate healing and reduce treatment efficacy. Despite available guidance, antimicrobial use remains inconsistent and often lacks a...
| Publicado en: | Journal of Wound Care Vol. 34; no. 11; pp. 910 - 921 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Mark Allen Holdings Limited
Nov2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=189186705&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 189186705 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09690700 H3U jtl: Journal of Wound Care issn: 09690700 maglogo: N pubinfo: dt: Nov2025 vid: 34 iid: 11 pid: 11383 pub: Mark Allen Holdings Limited artinfo: ui: 189186705 189186705 189186705 10.12968/jowc.2025.0518 189186705 ppf: 910 ppct: 11 formats: tig: atl: Healthcare practitioners' perspectives on infection management, antimicrobial resistance and stewardship in wound care practice. aug: au: Probst, Astrid Günther, Bodo Woodmansey, Emma Bruwer, Febe Smith, George Woo, Kevin Hoxha, Klarida Idensohn, Patricia Ramos, Paulo Lakshmanan, Vivek Cole, Windy Merwe, Zhavandre van der affil: Wound Care Nurse sug: subj: Professional Knowledge Evaluation Attitude of Health Personnel Evaluation Wound Infection Prevention and Control Wound Infection Therapy Drug Resistance, Microbial Antimicrobial Stewardship Wound Care Wounds, Chronic Therapy Human Cross Sectional Studies Questionnaires Antiinfective Agents, Local Therapeutic Use Antiinfective Agents Administration and Dosage Administration, Topical Antimicrobial Dressings Ionic Silver Dressings Povidone-Iodine Therapeutic Use Chlorhexidine Therapeutic Use Honey Therapeutic Use Structured Questionnaires Descriptive Statistics Europe North America Australia New Zealand South America Asia Home Health Care Hospitals Outpatient Service Professional Role Decision Making, Clinical Surgical Wound Care Leg Ulcer Therapy Pressure Ulcer Therapy Wounds and Injuries Therapy Burns Therapy Tears and Lacerations Therapy Abscess Therapy Leadership Collaboration ab: Objective: Antimicrobial resistance (AMR) poses a significant global health threat, particularly in wound care, where non-healing wounds often harbour pathogens that complicate healing and reduce treatment efficacy. Despite available guidance, antimicrobial use remains inconsistent and often lacks alignment with antimicrobial stewardship (AMS) principles. This study aimed to assess global practices in, and awareness of, infection prevention, management and AMS in wound care. Method: A cross-sectional survey was distributed to a global database of more than 66,000 healthcare professionals. A total of 712 responses were collected between August and September 2025. The survey contained 27 questions, exploring infection management, the use of antiseptic cleansing solutions, topical and systemic antimicrobial use and AMS implementation from across a wide range of healthcare professions globally, with a focus on wound care. Results: Participants represented diverse clinical roles and settings, with most identifying as specialist wound nurses. While 59.4% followed formal infection protocols, 37.2% reported not following AMS guidelines. Antimicrobial dressings such as silver, iodine, polyhexamethylene biguanide, chlorhexidine gluconate and honey were reported to be used by 88.2% of participants, with 41% reporting 'just in case' use of antimicrobial dressings. Antiseptic cleansers were also widely used. AMS leadership structures varied. Key support needs for decision-making included clinical evidence (77.9%), treatment pathways (71.6%) and guideline development (71.6%). Conclusion: Findings highlight both strengths and gaps in infection prevention, management and AMS implementation. High use of antimicrobial dressings in general and as a precautionary measure may indicate a lack of adherence to AMS principles. The lack of consistency in AMS leadership reported within clinical settings may indicate a variation in protocols and practice across wound care. Greater integration of evidence-based guidance, education and leadership as part of wider AMS structures and teams are needed to support consistent antimicrobial use and mitigate AMR in wound care. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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