Wound healing and treating wounds: Chronic wound care and management

J Am Acad Dermatol. 2016 Apr;74(4):607-25; quiz 625-6. doi: 10.1016/j.jaad.2015.08.070.


In the United States, chronic ulcers--including decubitus, vascular, inflammatory, and rheumatologic subtypes--affect >6 million people, with increasing numbers anticipated in our growing elderly and diabetic populations. These wounds cause significant morbidity and mortality and lead to significant medical costs. Preventative and treatment measures include disease-specific approaches and the use of moisture retentive dressings and adjunctive topical therapies to promote healing. In this article, we discuss recent advances in wound care technology and current management guidelines for the treatment of wounds and ulcers.

Publication types

  • Review

MeSH terms

  • Administration, Topical
  • Anti-Bacterial Agents / therapeutic use
  • Chronic Disease
  • Combined Modality Therapy
  • Debridement / methods*
  • Detergents / therapeutic use
  • Female
  • Humans
  • Male
  • Negative-Pressure Wound Therapy
  • Ointments / therapeutic use
  • Prognosis
  • Risk Assessment
  • Skin Care / methods*
  • Skin Transplantation / methods
  • Skin Ulcer / diagnosis*
  • Skin Ulcer / therapy*
  • Wound Healing / physiology*
  • Wounds and Injuries / diagnosis
  • Wounds and Injuries / therapy


  • Anti-Bacterial Agents
  • Detergents
  • Ointments