Keywords

Wound bed preparation, nonhealing wounds, protease activity test, consensus statements

Authors

1. Sibbald, R. Gary BSc, MD, MEd, FRCPC(Med Derm), MACP, FAAD, MAPWCA, panel co-chairperson
2. Snyder, Robert J. DPM, MSc, CWS
3. Botros, Mariam DCh, IIWCC
4. Burrows, Cathy RN, BScN, MScCH
5. Coutts, Patricia RN
6. D'Souza, Lincoln RN
7. Kuhnke, Janet ET PhD(c), MS, BSN, RN
8. Labrecque, Chantal MSN, BSN, RN
9. Laforet, Karen RN, MClSc-WH, IIWCC
10. Landis, Stephan MD, FRCP(C)
11. LeBlanc, Kimberly MN, RN, CETN(C), IIWCC
12. Maida, Vincent MD,MSc, BSc, CCFP, FCFP, ABHPM
13. Pearson, Christine RN
14. Suitor, Michele RN, MN, NP
15. Belley, Richard MD, CFPC
16. Mehta, Sowmil MD, BEng, FRCSC

Abstract

ABSTRACT: Nonhealing wounds (stalled, healable) challenge affected individuals, wound clinicians, and society. Nonhealing may result despite local factors being corrected. The interplay between tissue degradation, increased inflammatory response, and abundant protease activity is a challenging quandary. A modified Delphi process was utilized to investigate a protease activity test and practice implications.