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How might biofilms affect dressing choice for the diabetic foot?

Chronic wounds, including diabetic foot ulcers, are colonised by micro-organisms. In the person with diabetes-where the immune response is impaired-this poses a major challenge, with control of infection being recognised as an important aspect of wound management.

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Biofilms-aggregations of micro-organisms characterised by a protective extracellular matrix-have long represented a significant healthcare issue in areas such as orthopaedic prosthesis and dentistry. It has been estimated that 65% of human infections involve biofilms (Potera, 1999). In recent years, the paradigm of the place of biofilms in chronic wound care ...

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