{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T07:06:05Z","timestamp":1791443165164,"version":"4.3.3"},"reference-count":27,"publisher":"Mark Allen Group","issue":"Sup6d","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wound Care"],"published-print":{"date-parts":[[2026,6,1]]},"abstract":"<jats:p>\n                    In 2024, the\n                    <jats:italic>Journal of Wound Care<\/jats:italic>\n                    (\n                    <jats:italic>JWC<\/jats:italic>\n                    ) published best-practice guidance on wound debridement. This introduced the concept of integral debridement, defined as the combined use of complementary debridement methods on the same wound to optimise healing outcomes. This typically involves combining less invasive approaches, such as autolytic debridement, with more active adjunctive methods, including mechanical and\/or sharp debridement.\n                  <\/jats:p>\n                  <jats:p>\n                    In 2026,\n                    <jats:italic>JWC<\/jats:italic>\n                    convened an expert panel to explore how this concept can be effectively implemented in non-specialist settings. The panel concluded that debridement is most effective when applied repeatedly throughout the healing process and introduced the concept of continuous integral debridement (CID), a cyclical four-step approach comprising cleanse, debride, cleanse and dress (CDCD). The panel propose that, when performed regularly, this will help disrupt microbial and non-microbial barriers to healing and maintain a clean wound environment.\n                  <\/jats:p>\n                  <jats:p>The panel consider that CID is compatible with established frameworks, such as TIME\/TIMERS and the International Wound Infection Institute wound infection continuum, and complements antibiofilm strategies, including Wound Hygiene. This document provides practical guidance for integrating CID into routine wound care across all clinical settings, including recommendations on cleansing solutions, debridement methods and dressing selection, with the aim of supporting evidence-based practice and improving patient outcomes.<\/jats:p>","DOI":"10.12968\/jowc.2026.0275","type":"journal-article","created":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T12:14:54Z","timestamp":1781093694000},"source":"Crossref","is-referenced-by-count":4,"title":["Continuous integral debridement: optimising wound bed preparation through the cleanse, debride, cleanse and dress cycle"],"prefix":"10.12968","volume":"35","author":[{"given":"Dieter O","family":"Mayer","sequence":"first","affiliation":[{"name":"General &amp; Vascular Surgeon, University Hospital of Zurich, Department of Dermatology, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leanne","family":"Atkin","sequence":"additional","affiliation":[{"name":"Vascular Nurse Consultant\/Associate Professor, Mid Yorkshire NHS Teaching Trust and University of Huddersfield, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Dowsett","sequence":"additional","affiliation":[{"name":"Consultant Nurse Tissue Viability, East London NHS Foundation Trust, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Viviana","family":"Gon\u00e7alves","sequence":"additional","affiliation":[{"name":"Tissue Viability Nurse Consultant, S\u00e3o Jo\u00e3o Local Health Unit, Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindsay","family":"Kalan","sequence":"additional","affiliation":[{"name":"Associate Professor, Michael G. DeGroote Institute for Infectious Disease Research, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irena","family":"Pastar","sequence":"additional","affiliation":[{"name":"Professor, Wound Healing and Regenerative Medicine Research Program, Dr Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami, Miller School of Medicine, Miami, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M Mark","family":"Melin","sequence":"additional","affiliation":[{"name":"Medical Director Wound Clinic, Gonda Vascular Center, Mayo Clinic, Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prashini","family":"Moodley","sequence":"additional","affiliation":[{"name":"Clinical Microbiologist, School of Medicine, Nelson R Mandela Campus, University of KwaZulu-Natal, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ewa Klara","family":"Stuermer","sequence":"additional","affiliation":[{"name":"General &amp; Trauma Surgeon, Head of Translational Research &amp; Comprehensive Wound Centre UKE, Department for Vascular Medicine, University Medical Centre Hamburg-Eppendorf, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalia","family":"Maella","sequence":"additional","affiliation":[{"name":"Advanced Practice Nurse in Wound Care, Institut Catal\u00e0 de la Salut, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monira Nou","family":"Howaldt","sequence":"additional","affiliation":[{"name":"Vascular Medicine Physician, H\u00f4pital Saint-Eloi, CHU de Montpellier, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Probst","sequence":"additional","affiliation":[{"name":"Full Professor in Tissue Viability and Wound Care, Geneva School of Health Sciences (HEdS-Gen\u00e8ve), HES-SO University of Applied Sciences and Arts Western Switzerland, Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Woo","sequence":"additional","affiliation":[{"name":"Professor, Queen's University, School of Nursing and School of Rehabilitation, Kingston, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5130","reference":[{"key":"e_1_3_2_1_2","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2019.28.Sup3a.S1"},{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2024.33.Sup6b.S1"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2022.31.Sup12.S10"},{"key":"e_1_3_2_4_2","unstructured":"Garten A Bellingeri A Weir D et al. 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