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Publications library Research article

Frontiers CIMB · 2023

Use of fluorescence imaging to optimize location of tissue sampling in hard-to-heal wounds

See PDF author block - Serena listed

Frontiers in Cellular and Infection Microbiology, published 12 January 2023

In brief

This post hoc analysis of the 350-wound FLAAG trial examined 78 hard-to-heal wounds that were biopsied at two sites: the wound center, as in standard care, and a site chosen using point-of-care fluorescence imaging. Fluorescence-guided biopsies found high bacterial loads more often than center biopsies (sensitivity 98.7% vs 87.2%, p=0.0059) and detected more bacterial species per sample (3.03 vs 2.2, p<0.001), including more species the CDC lists as antibiotic resistance threats. Wounds that received a second biopsy were larger than those biopsied once, and the authors conclude that fluorescence imaging can help select a more representative sampling site, particularly in large wounds.

The SerenaGroup Research Foundation conducted the FLAAG trial behind this analysis, sponsored by MolecuLight.

Plain-language summary by SerenaGroup. See the full text for complete methods and results.

No abstract is published for this item. Use the full text link for the complete document.

Keywords

wound infectionbiopsysampling techniquemicrobiological analysisantibiotic stewardshipdiagnostic stewardshipfluorescence imagingpoint-of-care diagnostic