Factors affecting wound healing

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Identification of factors affecting wound healing

Identification and elimination of factors that interfere with wound healing are fundamental steps in successful wound treatment. Chronic wounds are influenced not only by the circumstances in the wound (local factors) but also by the patient’s general condition (systemic factors). Wound treatment should therefore always involve an integrated approach. The important causes leading to poor healing conditions are listed below.

Local factorsSystemic factors
Bacterial colonisationCardiovascular disease
Fibrin coating and necrosisNeuropathy (diabetics) 
Wound infectionMetabolic disease 
Poor wound hygiene Malnutrition 
Poor blood supply Medications (e.g. steroid) 
Low oxygen saturation Immuno suppression 
Debris Advanced age 
Pressure Smoking