{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T18:50:27Z","timestamp":1791399027099,"version":"4.3.3"},"reference-count":19,"publisher":"Mark Allen Group","issue":"Sup10E","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wound Care"],"published-print":{"date-parts":[[2026,10,1]]},"abstract":"<jats:p>\n                    The health-economic burden of hard-to-heal wounds is rising across the Asia-Pacific (APAC) region, yet regional data remain sparse, particularly for venous leg ulcers and pressure injuries. Effective wound bed preparation, including management of bioburden and biofilm, is central to healing outcomes, but debridement practice across APAC is inconsistent. In May 2026, the\n                    <jats:italic>Journal of Wound Care<\/jats:italic>\n                    published the continuous integral debridement (CID) concept, built around a four-step cleanse, debride, cleanse, dress (CDCD) cycle designed to standardise debridement in everyday clinical practice. This article reports the outcomes of a July 2026 APAC expert panel convened to review the CID concept and its applicability to the region. The panel considered the concept's alignment with established frameworks and its relevance across wound types and care settings. It identifies barriers to implementation, among them variable clinician competence, resource constraints and inconsistent access to education, and sets out recommendations for overcoming these through structured education, multidisciplinary collaboration and the development of local champions. The panel also highlights the role of audit in supporting quality improvement as CID is introduced into practice. These recommendations aim to support clinicians across the APAC region in adopting a consistent, evidence-based approach to wound debridement, with the goal of improving healing outcomes for patients with hard-to-heal wounds.\n                  <\/jats:p>","DOI":"10.12968\/jowc.2026.0549","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T17:59:46Z","timestamp":1791395986000},"source":"Crossref","is-referenced-by-count":0,"title":["Continuous integral debridement: implementation in the Asia-Pacific region"],"prefix":"10.12968","volume":"35","author":[{"given":"Khong Yik","family":"Chew","sequence":"first","affiliation":[{"name":"Associate Professor of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harikrishna KR","family":"Nair","sequence":"additional","affiliation":[{"name":"Director, Head and Emeritus Professor, Hospital Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kusuma","family":"Chinaroonchai","sequence":"additional","affiliation":[{"name":"Assistant Professor of Trauma Surgery, Siriraj Hospital, Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicoletta","family":"Frescos","sequence":"additional","affiliation":[{"name":"Adjunct Senior Lecturer, La Trobe University, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daiwon","family":"Jun","sequence":"additional","affiliation":[{"name":"Assistant Professor of Plastic and Reconstructive Surgery, Bucheon St Mary's Hospital, Seoul, South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donna","family":"Larsen","sequence":"additional","affiliation":[{"name":"Nurse Practitioner in Wound Management, Surgical Division, Royal Perth Bentley Group, Perth, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjay","family":"Vaidya","sequence":"additional","affiliation":[{"name":"Consultant Plastic and Diabetic Foot Surgeon, SL Raheja Hospital, Mumbai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xingang","family":"Wang","sequence":"additional","affiliation":[{"name":"Professor of Burns and Wound Care, Second Affiliated Hospital of Zhejiang University, Hangzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Apirag","family":"Chuangsuwanich","sequence":"additional","affiliation":[{"name":"Professor of Plastic Surgery, Siriraj Hospital, Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joon Pio","family":"Hong","sequence":"additional","affiliation":[{"name":"Professor, Plastic &amp; Reconstructive Surgery, Asan Medical Centre, Seoul, South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Rodeheaver","sequence":"additional","affiliation":[{"name":"Professor Emeritus of Plastic Surgery, University of Virginia Health Sciences Center, Charlottesville, US"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geoff","family":"Sussman","sequence":"additional","affiliation":[{"name":"Adjunct Professor of Wound Care, Monash University, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5130","reference":[{"key":"e_1_3_1_1_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-065692"},{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.70863"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13410-024-01400-x"},{"key":"e_1_3_1_4_2","unstructured":"Nair HKR Chew KY Youngjoon J. 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