MD Podiatrist Discusses Biofilm and Wound Healing

According to Dan Michaels, DPM, “When an ulcer remains open, numerous types of bacteria will “set up shop,” colonizing the surface of the lesion. These often don’t invade the tissues of the host, which would mean infection was present. Instead, multiple types of bacteria will form a cooperative colony, encased in tough, thick gelatinous material produced by the microorganisms. These colonies are referred to as biofilm, a common concern with implanted hardware as well as chronic wounds. Biofilm is a frequent obstacle to healing, altering the chemistry of many wounds, making it difficult for the body to grow tissue to fill the defect. Fighting biofilm is challenging. It’s also the reason many ulcers fail to heal.”
 
“A newer weapon in the battle against biofilm formation is a specialized medication, applied in a sheet of collagen, whose sole purpose is the killing of biofilm. When left to persist, biofilm can ruin the best wound care plan. Along with the biofilm fighter,  it’s possible to use a series of treatments to the surface of the wound utilizing an ultrasonically-charged mist. Studies reveal the benefits of this therapy are many, including killing bacteria, improving blood flow, even breaking up debris. This can be followed by the application of lab grown skin, ” said Dr. Michaels.