Evidence map›Paper›PMID 40091463›Full record

ReviewJournal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG2025

Systematics, diagnosis and treatment of wound infections in chronic wounds: A position paper from WundDACH.

Joachim Dissemond, Julian-Dario Rembe, Bernd Assenheimer, Marjam Barysch-Bonderer, Veronika Gerber, Jan Kottner, Peter Kurz, Martin Motzkus, Eva-Maria Panfil, Sebastian Probst and 3 more

Abstract readReviewConsensus Statement
In one paragraph

Review in Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. S1 Guideline on Infected Interdigital Intertrigo (also called Gram-Negative Toe Web Infection).Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2026
    Guideline
  2. Review
  3. Review
  4. Article
  5. Article
  6. Black Sea-Derived Biomaterials for Wound-Healing Applications.International journal of molecular sciences · 2026
    Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. Review
  12. [Pyoderma gangrenosum: pathogenesis, diagnosis, and treatment].Dermatologie (Heidelberg, Germany) · 2025
    Review
  13. Systematics, diagnosis and treatment of wound infections in chronic wounds: A position paper from WundDACH.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Joachim DissemondDepartment of Dermatology, Venereology and Allergology, University Hospital Essen, Essen, Germany.ORCID 0000-0003-3893-328X
Julian-Dario RembeDepartment for Vascular and Endovascular Surgery, University Hospital Düsseldorf, Düsseldorf, Germany.
Bernd AssenheimerNursing School, University Hospital Tübingen, Tübingen, Germany.
Marjam Barysch-BondererDermapraxis Wädenswil, Wädenswil, University of Zürich, Zürich, Switzerland.
Veronika GerberInitiative Chronische Wunden e.V. (ICW), Quedlinburg, Germany.
Jan KottnerInstitute of Clinical Nursing Science, Charite - Universitatsmedizin Berlin, Berlin, Germany.
Peter KurzWPM Wound Care Management, Bad Pirawarth, Austria.
Martin MotzkusCentral Wound Management, Evangelic Hospital, Mülheim an der Ruhr, Germany.
Eva-Maria PanfilPractice Development and Research Department, Nursing / MTT, University Hospital Basel, Basel, Switzerland.ORCID 0000-0003-1112-7763
Sebastian ProbstHES-SO Technical College West Switzerland, Geneva, Switzerland, University Hospital Geneva, Switzerland, Monash University, Melbourne, Australia, University of Galway, Galway, Ireland.
Robert StrohalDepartment of Dermatology and Venereology, State Hospital Feldkirch, Feldkirch, Austria.
Jürg TraberVein Hospital Bellevue, Kreuzlingen, Switzerland.
Andreas SchwarzkopfInstitute Schwarzkopf, Bad Bocklet, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Wound infections are still an interdisciplinary and interprofessional challenge, because of numerous complications, particularly in people with chronic wounds. There are many different concepts and approaches in this field today. Therefore, WundDACH, the umbrella organization of the German-speaking wound healing societies, wrote a position paper on this important topic. An interdisciplinary and interprofessional group of experts from German-speaking countries developed definitions and procedures for nomenclature, diagnosis and treatment of wound infections in people with chronic wounds in a modified Delphi process. The importance of correctly diagnosing wound infections is emphasized so that adequate treatment can be carried out as early and specifically as possible. For a differentiated assessment, a simplified continuum of wound infection with contamination, colonization, local and systemic infection and the corresponding therapeutic consequences was described. Most bacteria in wounds can be removed by repeated wound-irrigation and debridement. Local wound infections are diagnosed based on clinical signs of infection and TILI score. Treatment is then usually exclusively local, for example with modern antiseptics such as polyhexanide. Systemic antibiotics should mostly be considered when signs of systemic infections appear. The indication for antimicrobial wound therapy should be critically reviewed after 10-14 days at the latest.

Indexed as

Wound InfectionAnti-Bacterial AgentsChronic DiseaseDebridementGermanyHumansWound HealingAnti-Bacterial Agentsantisepticsbacteriachronic woundswound healingwound infections

Identifiers

PMID40091463
PMCPMC12087700

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.