Wound Infection Summit

Friday, August 16th 2019

7:00am - 7:30am Registration

7:30am – 8:30am Breakfast - Sponsored Program

8:30am – 8:40am Welcome and Introductions
Thomas E. Serena MD

8:40am – 9:40am Keynote Address: Biofilms in Medical Science 
Garth James PhD, Montana State University
Commercial Support for this event has been received from Next Science

9:40am – 10:00am Overview of The Problem of Wound Infections
Thomas E. Serena MD, Claudiu Georgescu MD
Wound infection or high bacterial load remains an issue in chronic wounds. In this introductory session, we will explore the incidence and prevalence of wound infections, the unique challenges of acute vs. chronic wounds, the financial and economic factors at play in wound care and wound infection, and the issues that impact patients and providers across wound care settings as we consider the whole patient approach to care. 
10:00am – 10:15am Break
10:15am -10:45am Special Population: Injection Drug Use and VLU
Barbara Pieper MD

10:45am – 11:30am Identifying the Gap Between Research and Practice
Jennifer Gaddy MD, Jennifer Hurlow
Scientific research on issues of infection is advancing at a rapid pace, but that does not necessarily mean that it is reaching clinicians in their daily practice. This session will provide an overview of scientific advances in biofilm, topical antiseptic, swab cultures and planktonic bacteria, help define contamination, colonization and other critical terms, and provide an opportunity to discuss the challenges of applying these areas to clinical practice.

11:30am – 12:00pm The Antimicrobial and Anti-inflammatory Properties of Hyperbaric Oxygen Therapy
Greg Bohn MD
Hyperbaric Oxygen Therapy (HB0) inhibits bacterial growth and reduces inflammation. This lecture focuses on the use of HBOT for infectious disease and inflammatory conditions. 
12:00pm – 1:00pm Lunch - Sponsored Program
1:00pm – 2:00pm Shifting the Paradigm
Lindsay Kalan PhD, Randy Wolcott MD
Now that we can recognize the research advances, how can we apply what has been learned to the clinical setting? This session considers the stakeholders involved in translating research to practice, how the ideology progresses through these stakeholders and how different host factors sometimes require a different approach. 

2:00pm – 2:40pm The Role of Nutrition in Wound Healing and Infection control
Nutrition plays a crucial role in wound healing and the function of the immune system.  Malnutrition complicates the wound healing process in a variety of ways not the least of which is increasing the susceptibility to infection
2:40pm -3:00pm Compression, Lymphedema, and Infection: What, When, and How?
Frank Aviles PT

3:00pm – 3:15pm Break

3:15pm – 4:15pm Making the Diagnosis: How Good Are We?
Claudiu Georgescu MD, Karen Bauer DNP, Greg Bohn MD
In this interactive session, participants will engage with the panel for a multi-disciplinary approach to examining case-based differential diagnosis, identifying gaps in assessment and discussing diagnosis and the complexity of wound infections. Participants are welcome to submit cases for this section.

4:15pm – 5:00pm The Patient Experience
A patient from a local wound clinic has agreed to share his experience with a chronic wound complicated by infection. He faced the specter of amputation and lived to tell his story. 
6:30pm – 8:30pm Industry Sponsored Dinner – Topic to be determined
Saturday, August 17th

7:00am - 7:30am Registration
7:30am – 8:30am Bugs and Breakfast – Industry Sponsored Breakfast
Sponsored by Next Science
8:30am – 8:45am Welcome Day Two: From Assessment Through Management and What’s Next 
Thomas E. Serena MD
Yesterday we set the stage today we analyze the evidence. We challenge the evidence. 
8:45am  – 9:45am What do the Guidelines tell us?
Kara Couch CRNP, Jeff Shook DPM
How can we best improve the multi-disciplinary approach to caring for infected wounds? In addition to practical assessment by wound type, this session will review varying host factors, the AAWC Clinical Practice Guidelines and how tools are being developed to support clinical practice. 

9:45am – 10:15am Clinical Assessment of Wounds
Karen Bauer DNP
Assessing a chronic wound for moderate to heavy bacterial burden begins with assessment of the clinical signs and symptoms of infection. This lecture will review the clinical examination of the patient with a chronic wound.  
10:15am – 10:30am Break
10:30am – 11:30am Molecular Diagnostics and Biomarkers for Infection
Randy Wolcott MD, Thomas E. Serena MD
Traditional culture techniques are fraught with errors and inaccuracy. This lecture highlights novel diagnostic methods including molecular diagnostics and bacterial protease testing. 

11:30am – 12:30pm Imaging Chronic Wounds
Thomas E. Serena MD, Munier Nazzal MD
Imaging is an important tool in the assessment, diagnosis and treatment of wound infection including osteomyelitis. For this session, speakers will explore the practical implications of radiologic imaging, explain the physics and application of fluorescent imaging, and highlight examples of both from clinical trials. 

12:30pm – 1:30pm Improving Wound Assessment with Floursecent Imaging - MolecuLight Sponsored Lunch
Ralph DaCosta

1:30pm – 2:15pm Topical Management
Kara Couch CRNP, Jenny Hurlow GNP CWOCN
Shifting to practical management and care, this session will explore the various topical treatments and strategies proven to manage wound infections in a clinical setting, including antimicrobials and antiseptics, biofilm issues, considerations based on the setting, topical antibiotics and composite dressings. 

2:15pm – 3:00pm Systemic Therapy: Overall Goals 
Claudiu Georgescu MD
Systemic therapy provides different treatment options and benefits for patients with infected wounds, but also unique challenges as well. In considering the overall goals and opportunities for systemic therapy to manage and eradicate infection, this session will also explore challenges related to complications, superinfections and resistance. 
3:00pm – 3:15pm Break
3:15pm – 4:00pm Systemic Therapy: Antibiotic Stewardship 
Lindsay Kalan PhD
As the approaches to systemic therapy for wound infections evolve, much of the research and practical application is focusing on antibiotic stewardship, supporting the immune system, and preventing infections. This session will also explore how research on the microbiome is impacting clinical decisions regarding systemic therapies and treatments. 

4:00pm – 4:45pm Surgical Site Infection and Management   
Greg Bohn MD, Munier Nazzal MD
Each infection is different, but there are certainly some unique challenges presented by Surgical Site Infections (SSIs). In addition to reviewing the causes and issues related to SSIs, this session will explore practical cases of osteomyelitis, the impact of bone biopsies and incision and drainage procedures.

4:45pm – 5:15pm Multi-Disciplinary Team-Based Care: Case Discussions
Jennifer Hurlow GNP CWOCN, Munier Nazzal MD, Frank Aviles PT, Moderator: Kara Couch CRNP
Through audience engagement and panel discussion, the speakers for this session will help participants apply all they’ve learned by identifying the core partners they can employ in creating a successful multi-disciplinary wound care team. Case study scenarios will explore various clinical examples of how different medical disciplines can bring their strengths to collaborative care. 

5:15pm – 5:45pm New Horizons, Gaps, Needs, and Research Opportunities
Jennifer Gaddy MD
Where is the future leading health care professionals in the diagnosis, management and care of wound infections? Wrap up the conference with an interactive summary of the emerging innovations, new treatments and how to bridge the gap between the research and clinical practice of wound care. 

Closing Remarks by AAWC President
Thomas E. Serena MD

Speakers are sessions may be subject to change