Program

Time Information
7:00 AM - 7:30 AM
Registration

7:30 AM - 8:30 AM
Breakfast - Wound Bed Preparation: Leveraging the Power of Innate Immunity and Hypochlorous Acid
Kara Couch NP, ,

Sponsored by Urgo Medical
8:30 AM - 8:40 AM
Welcome and Introductions
Thomas E. Serena MD, ,

8:40 AM - 9:40 AM
Keynote Address: Biofilm Impacts on Human Health
Garth James PhD, ,

Commercial Support for this event has been received from Next Science

Biofilms consist of communities of microorganisms enmeshed in an extracellular polymeric substance (EPS) matrix and are often attached to a surface. In many cases biofilms associated with the human body can be detrimental. This includes biofilms that form on medical devices and injured tissue. These biofilms are of concern because they have sophisticated survival strategies and are tolerant to antimicrobial agents and clearance by the immune system. This lecture will review similarities and differences between biofilms in various areas of human health and the mechanisms by which these communities persist.
9:40 AM - 10:00 AM
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.
10:00 AM - 10:30 AM
Break

10:30 AM - 11:00 AM
Special Population: Injection Drug Use and VLU
Barbara Pieper PhD, RN, ,

11:00 AM - 11:45 AM
Identifying the Gap Between Research and Practice
Jennifer Hurlow GNP, ,

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 planktoic bacteria, help define contamination, colonization and other critical terms, and provide an opportunity to discuss the challenges of applying these areas to clinical practice.
11:45 AM - 12:15 PM
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
12:15 PM - 1:15 PM
Lunch

1:15 PM - 2:15 PM
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.
2:15 PM - 2:55 PM
Surgical Site Infection and Management
Munier Nazzal MD, ,
Greg Bohn 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.
2:55 PM - 3:15 PM
Compression, Lymphedema, and Infection: What, When, and How?
Frank Aviles PT, ,

There are conditions such as lymphedema that can create inflammatory changes simulating or promoting skin infections. Understand how to recognize lymphedema and its progression in your practice as its not just on extremities with elephantiasis.   Early recognition, treatment, and management can prevent complications and improve quality of life.  Learn how appropriate compression is only part of the whole treatment when treating patients with lymphatic damage.
3:15 PM - 3:30 PM
Afternoon Break

3:30 PM - 4:30 PM
Making the Diagnosis: How Good Are We?
Greg Bohn MD, ,
Claudiu Georgescu MD, ,
Karen Bauer DNP, ,

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.
4:30 PM - 5:15 PM
The Patient Experience
Jeff Wisler, ,

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.
Time Information
7:00 AM - 7:30 AM
Registration

7:30 AM - 8:30 AM
Breakfast Symposium - Targeting the Biofilm Structure: How Translating Biofilm Testing Influences Real-World Outcomes

Sponsored by Next Science
8:30 AM - 8:45 AM
Welcome Day Two: From Assessment Through Management and What’s Next
Thomas E. Serena MD, ,

Yesterday we set the stage, today we challenge the evidence.
8:45 AM - 9:45 AM
What do the Guidelines tell us?
Kara Couch NP, ,
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.
9:45 AM - 10:15 AM
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.
10:15 AM - 10:45 AM
Break

10:45 AM - 11:45 AM
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.
11:45 AM - 12:45 PM
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.
12:45 PM - 1:45 PM
MolecuLight i:X Point-of-Care Imaging for Wound Care Diagnostics - Sponsored Lunch

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1:45 PM - 2:30 PM
Topical Management
Jennifer Hurlow GNP, ,
Kara Couch NP, ,

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.
2:30 PM - 3:15 PM
Systemic Therapy: Overall Goals
Claudiu Georgescu MD, ,
Ronald Kendall, PharmD, ,

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.
3:15 PM - 3:30 PM
Afternoon Break

3:30 PM - 4:15 PM
Systemic Therapy: Antibiotic Stewardship
Lindsay Kalan PhD, ,
Ronald Kendall, PharmD, ,

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.
4:15 PM - 5:00 PM
The Role of Nutrition in Wound Healing and Infection control
Thomas E. Serena MD, ,

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
5:00 PM - 5:30 PM
Multi-Disciplinary Team-Based Care: Case Discussions
Kara Couch NP, ,
Jennifer Hurlow GNP, ,
Munier Nazzal MD, ,
Frank Aviles PT, ,
Claudiu Georgescu MD, ,

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.
5:30 PM - 6:00 PM
New Horizons, Gaps, Needs, and Research Opportunities

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.
6:00 PM - 6:15 PM
AAWC Closing Comments