Table 4.

Recommended use of fluorescence imaging for detection of bacterial burden.

New Patient Exam
Prior history or comorbidities
History of delayed wound healing (>4 weeks) History of wound infection Failure of prior treatment Positive for clinical signs and symptoms present at visit Co-morbid medical conditions that mask signs and symptoms (i.e., diabetes, autoimmune disorders, elderly) Multiple co-morbid medical conditions that elevate risk of life/limb loss
At least one of the following signs or symptoms:
Delayed wound healing Wound breakdown and enlargement Increased malodor Local warmth New or increase pain Erythema Purulent discharge Extending induration Lymphangitis Crepitus Bleeding, friable granulation
Procedures or treatment
Follow up on positive fluorescence image Prior to, concurrent with or after debridement Suspected or confirmed biofilm Prescription of antimicrobials (including antibiotics) Follow up on application of antimicrobial Prior to or follow up on CTP/graft application Prior to, concurrent with or after NPWT Baseline assessment of new wound/patient in LTC/nursing facility
Wound sampling
Follow up on positive microbiology Inform need for and location of microbiological sample Inform referral for microbiological analysis