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Printable Handouts
Navigable Slide Index
- Introduction
- Objectives
- Biofilm in nature
- Overview
- Host biofilm development
- Bacterial biofilm is a major barrier to wound healing
- Microorganisms
- Biofilm infection
- Senescence
- Molecular mechanisms of senescence
- Planktonic vs. biofilm
- Medical biofilms
- Biofilm defenses
- Antibiotic resistance
- Reconstitution of slough
- Results: epithelial gap
- Slough
- Full biofilm debridement
- Don’t over analyze
- Acute vs. chronic wound
- Debridement biopsy phenomena
- Pyoderma to granulation
- Surface management
- Sharp debridement
- Osteomyelitis
- Diagnose then treat
- Common pathogens in SSSIs
- Clinical identification of bacteria
- Microbial identification
- Hope and change
- Biofilm based wound care (BBWC)
- An example of wound care (Allen)
- Multiple concurrent dynamic strategies
- Personalized wound care
- BBWC and NPWT
- BBWC and CBT
- The biofilm surprise
Topics Covered
- Biofilm in nature
- Host biofilm development
- Bacterial biofilm & wound healing
- Molecular mechanisms of senescence
- Planktonic vs. biofilm bacteria
- Medical biofilms
- Biofilm defences
- Antibiotic resistance
- Reconstitution of slough
- The epithelial gap
- Full biofilm debridement
- Acute vs. chronic wound
- Pyoderma to granulation
- Surface management
- Sharp debridement
- Osteomyelitis
- Common skin & skin-structure infection (cSSSI) pathogens
- Clinical identification of bacteria
- Biofilm-based wound care (BBWC)
- Multiple concurrent dynamic strategies
- Personalized wound care
- Negative-pressure wound therapy (NPWT)
- Cell-based therapy (CBT)
Links
Series:
Categories:
Therapeutic Areas:
Talk Citation
Wolcott, R. (2014, October 7). Biofilm based wound care [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved December 23, 2024, from https://doi.org/10.69645/QJFU1110.Export Citation (RIS)
Publication History
Financial Disclosures
- Dr. Randall Wolcott has not informed HSTalks of any commercial/financial relationship that it is appropriate to disclose.
A selection of talks on Dermatology
Transcript
Please wait while the transcript is being prepared...
0:00
This
is Dr. Randy Wolcott,
and this presentation will be
on biofilm-based wound care.
Let's get started.
0:10
Those are our objectives,
the main objective
being that there's two ways by
which bacteria cause infection.
I do have a conflict
of interest as being
a part owner of
PathoGenius Laboratory.
It's a laboratory that uses
DNA to identify microbes.
And let me just brag about
PathoGenius for a second.
When NASA wanted to make sure there
was no microbial DNA on Curiosity,
they turned to our laboratory.
And that's really cool, and that
gives us a lot of credibility.
But we started asking
ourselves, why would
they care if there's
microbes on Curiosity?
Well, then we understood
that the Martians
really don't like bacteria.
Well, this is to
point out that we're
going to stick with hard science.
And when I make my
reaches and conjectures,
I'll be sure to identify that.
1:00
The first thing we have to
understand is what a biofilm is.
Bill Costerton coined this term in
the late '70s, when he was seeing
slime on a rock in
the alpine streams.
This slime that's on this
piece of wood is microbes.
It's the self-secreted
goo of the microbes.
But it's also sand and grit and
the wood that it's attached to.
So all of that would be
called biofilm in nature.
1:30
This is an overview of
the life cycle of biofilm.
What Peg Dirckx is illustrating
here are the four basic components
of biofilm, which is attachment,
microcolony formation, quorum
sensing to form a mature
colony, and then reproduction.
So individual bacteria, planktonic
bacteria, find a surface,
they attach.
Once there's a quorum
or a sufficient number
of these bacteria, a structure,
a three-dimensional structure,
rises up off the surface and forms
the channels and the architecture
that we call mature biofilm.
Reproductively, 70% comes
off as detachment fragments,
and 30% come off as seeds.
So the detachment fragments
have all the colony
defenses of the mature biofilm.
And then the seeds are the
planktonic or individual
free-floating bacteria
that we understand
as bacteria on a Petri dish.