Publications library Commentary or editorial
Int Wound J · 2023
Serena, T.E.
International Wound Journal (Editorial, accepted Oct 2023)
In this editorial, the authors respond to new Medicare local coverage determinations that limit cellular and/or tissue-based products (CTPs), also called skin substitutes, to four applications per diabetic foot or venous leg ulcer. They argue that CTPs often fail without proper wound bed preparation, including control of bacterial burden, and that clinical signs and symptoms are a poor way to detect harmful bacterial levels. The authors call on wound specialists to use point-of-care fluorescence imaging together with physical examination to improve wound bed preparation before applying CTPs.
Co-authored by Dr. Thomas Serena, SerenaGroup's founder.
Plain-language summary by SerenaGroup. See the full text for complete methods and results.
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