Cited by 266Wound Healing and TreatmentsSurgical site infection preventionStreptococcal Infections and Treatments

Wound Healing Alterations Caused by Infection

Robson, Martin C., Stenberg, Brian D., Heggers, John P.·1990·Clinics in Plastic Surgery

Abstract

The theoretical alterations of wound healing caused by infection apply to the clinical situation. The level of bacteria is clinically important as are the specific qualities of a given species. This latter consideration has not been as completely studied as have the quantitative aspects. However, as pharmacologic means of overcoming the wound healing alterations are sought, specific bacterial species' idiosyncrasies will have to be examined. This has already been identified for the beta-hemolytic streptococcus. That species has not adhered to the level of greater than 10(5) organisms to produce wound complications. It has been repeatedly shown to cause wound problems at a much lower inoculum. Similar information may become available for other organisms. However, it is clear that because wound healing in the clinical situation occurs in the presence of bacteria, it is important to be aware of potential alterations in the repair process that these bacteria can cause.

Integrity signals

Registry

Crossref · 10.1016/s0094-1298(20)30623-4

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52 of 52 references verified0 citation errors · 0 not checkable

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  • In the inflammation phase, infection increases consumption of complement proteins, leading to decreased chemotaxis.

    “In the inflammation phase, infection increases consumption of complement proteins, leading to decreased chemotaxis [251].”
  • Infection suppresses fibroblast proliferation and causes disorganized collagen production, leading to decreased wound strength.

    “Infection also suppresses proliferation of fibroblasts and causes disorganized collagen production, which lead to decreased wound strength [251].”
  • Bacterial endotoxins induce prolonged elevation of proinflammatory cytokines, which increase MMP levels and decrease growth factor production.

    “Moreover, bacterial endotoxins induce prolonged elevation of proinflammatory cytokines, e.g., IL-1β and TNF-α, which in turn increase MMP levels and decrease production of growth factors [251].”

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Authors
Robson, M. C., Stenberg, B. D., & Heggers, J. P.
Affiliations
Shriners Hospitals for Children - Galveston (US)
Venue
Clinics in Plastic Surgery
Publisher
Elsevier BV
Published
1990-07
Volume
17
Issue
3
Pages
485-492
ISSN
0094-1298 (ISSN-L)
OpenAlex
W2417880793
Cited by
266
References
54
Citations by year
2026: 2 · 2025: 5 · 2024: 5 · 2023: 10 · 2022: 8 · 2021: 6 · 2020: 9 · 2019: 4 · 2018: 3 · 2017: 4 · 2016: 6 · 2015: 10 · 2014: 6 · 2013: 12 · 2012: 16
FWCI
4.13
Type
journal article
Language
en
Open access
closed
Locations
  • Clinics in Plastic Surgery (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Rehabilitation › Wound Healing and Treatments
  • Health Sciences › Medicine › Surgery › Surgical site infection prevention
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Streptococcal Infections and Treatments
Keywords
wound healing, wound infection, bacterial inoculum, beta-hemolytic streptococci, wound complications, bacterial adhesion
MeSH terms
Bacterial Infections, Humans, Wound Healing, Wound Infection

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