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This can severely reduce their quality of life and wellbeing. Concentrated surfactant-based gels (Plurogel and Plurogel SSD) are used in wound cleansing to help manage devitalised tissue. In vitro studies indicate they can sequester planktonic microbes and biofilm from the wound bed, although there is, limited clinical evidence to support this. A group of health professionals who have used this concentrated surfactant gel, in combination with standard care, in their clinical practice for several years recently met at a closed panel session. Here, they present case studies where topical application of these gels resulted in positive clinical outcomes in previously long-standing recalcitrant wounds. In all cases, the reduction in inflammation and bioburden alleviated symptoms that previously severely impaired health-related quality of life and wellbeing. <\/jats:p>","DOI":"10.12968\/jowc.2018.27.10.664","type":"journal-article","created":{"date-parts":[[2018,10,17]],"date-time":"2018-10-17T17:31:03Z","timestamp":1539797463000},"page":"664-678","source":"Crossref","is-referenced-by-count":10,"title":["Effect of a surfactant-based gel on patient quality of life"],"prefix":"10.12968","volume":"27","author":[{"given":"Kevin","family":"Woo","sequence":"first","affiliation":[{"name":"Associate Professor, Queen's University, Kingston, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosemary","family":"Hill","sequence":"additional","affiliation":[{"name":"Wound Ostomy Continence Clinician, Vancouver Coastal, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberly","family":"LeBlanc","sequence":"additional","affiliation":[{"name":"Chair, Wound Ostomy Continence Institute, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven L.","family":"Percival","sequence":"additional","affiliation":[{"name":"CEO and Director, Centre of Excellence in Biofilm Science and Technologies, Liverpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory","family":"Schultz","sequence":"additional","affiliation":[{"name":"Researcher, Professor Ob\/Gyn, Director Institute for Wound Research University of Florida, Gainesville, Florida, US"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dot","family":"Weir","sequence":"additional","affiliation":[{"name":"Catholic Health Advanced Wound Healing Centres, Buffalo, New York, US"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Terry","family":"Swanson","sequence":"additional","affiliation":[{"name":"Nurse Practitioner, Warrnambool, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dieter O.","family":"Mayer","sequence":"additional","affiliation":[{"name":"Head of Vascular Surgery Unit and Wound Centre, Department of Surgery, HFR Fribourg \u2014 Cantonal Hospital, Fribourg, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5130","reference":[{"key":"B1","unstructured":"World Health Organization. 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