BBWM

BBWM™ is a proactive approach in which all wounds are considered at risk for biofilm. Biofilm is present in virtually all wounds,1-5 is hard to detect, resistant to treatment, and delays wound healing.6-9

BBWM™ combines sharp debridement with PuraPly AM, a broad-spectrum antimicrobial barrier to help control and prevent biofilm re-formation.6,10

Sources:
  1. Carpenter S et al. WOUNDS. 2016;28(6 Suppl):S1-S20.
  2. James GA et al. Wound Repair Regen. 2008;16:37-44.
  3. Malone M et al. J Wound Care. 2017;26(1):20-25.
  4. Schultz G et al. Wound Repair Regen. 2017;25(5):744-757.
  5. Donlan RM et al. Clin Microbiol Rev. 2002;15(2):167-193.
  6. Phillips PL, Wolcott RD, Fletcher J, Schultz GS. Biofilms made easy. Wounds International website. www.woundsinternational.com/made-easys/view/biofilms-made-easy. Published May 17, 2010. Accessed December 20, 2016.
  7. Leaper D, Snyder RJ. Association for the Advancement of Wound Care. Publication No. UKCTA0021. 2008:5-8.
  8. Schierle CF, De la Garza M, Mustoe TA, Galiano RD. Wound Repair Regen. 2009;17(3):354-359.
  9. Wolcott R, Dowd S. Plast Reconstr Surg. 2011;127(suppl 1):28S-35S.
  10. Brantley J, Park H, Sanchez P, Fitzgerald R. Wounds Int. 2016;7(3):1-5.
  11. Percival SL, Vuotto C, Donelli G, Lipsky BA. Adv Wound Care. 2015;4(7):389-397.


Science

Biofilm is a serious challenge to wound healing1,2

All wounds contain bioburden and are at risk for developing biofilm2-4

  • Biofilm is present in chronic wounds3
  • Unmanaged bioburden in any wound type can progress to biofilm2,4


Biofilm is often impossible to see and difficult to treatsup 5,6

  • Biofilm is underdiagnosed, because it is often invisible to the eye and standard laboratory tests cannot detect it6
  • Sharp debridement does not completely eliminate biofilm, and biofilm is not typically susceptible to antibiotics7


Biofilm impairs wound healing and can lead to infection2,7,8

  • Biofilm causes prolonged inflammation, which prevents healing2
  • Approximately 80% of all human infections are linked to biofilm7
Sources
  1. Attinger C, Wolcott R. Adv Wound Care (New Rochelle). 2012;1(3):127-132.
  2. Wolcott R, Cutting KF, Ruiz JC. Association for the Advancement of Wound Care. Publication No. UKCT-A0021. 2008:12-17.
  3. Percival SL, Vuotto C, Donelli G, Lipsky BA. Adv Wound Care. 2015;4(7):389-397.
  4. Mulder GD, Cavorsi JP, Lee DK. Wounds. 2007;19(7):173-182.
  5. Phillips PL, Wolcott RD, Fletcher J, Schultz GS. Biofilms made easy. Wounds International website. www.woundsinternational.com/made-easys/view/biofilms-made-easy. Published May 17, 2010. Accessed December 20, 2016.
  6. Black CE, Costerton JW. Surg Clin North Am. 2010;90(6):1147-1160.
  7. Wolcott R, Dowd S. Plast Reconstr Surg. 2011;127(suppl 1):28S-35S.
  8. Schierle CF, De la Garza M, Mustoe TA, Galiano RD. Wound Repair Regen. 2009;17(3):354-359.


BBWM™ is a proactive approach that aims to reduce and prevent biofilm re-formation1

Sharp debridement and proactive biofilm prevention are the foundation of BBWM™1

  • Following sharp debridement, biofilm begins to re-form within 24 hours and becomes fully mature within 72 hours2
  • A broad-spectrum antimicrobial barrier must be applied immediately following debridement to help prevent biofilm re-formation2


BBWM™ should be considered a critical element of good wound care practices2-4

  • Experts believe that biofilm is present in virtually all wounds, and that treatment strategies should adjust accordingly3-5
  • Suppressing biofilm while managing the other known barriers to wound healing holds the potential to radically advance wound healing3,6


Comprehensive BBWM™ should include antimicrobial technologies that both help control biofilm and support healing4,5

  • The ideal antimicrobial product balances a broad antimicrobial spectrum with high tissue compatibility7
Sources:
  1. Phillips PL, Wolcott RD, Fletcher J, Schultz GS. Biofilms made easy. Wounds International website. www.woundsinternational.com/made-easys/view/biofilms-made-easy. Published May 17, 2010. Accessed December 20, 2016.
  2. Wolcott RD, Rumbaugh KP, James G, et al. J Wound Care. 2010;19(8):320-328.
  3. Wolcott R, Dowd S. Plast Reconstr Surg. 2011;127(suppl 1):28S-35S.
  4. Percival SL, Vuotto C, Donelli G, Lipsky BA. Adv Wound Care (New Rochelle). 2015;4(7):389-397.
  5. Brantley J, Park H, Sanchez P, Fitzgerald R. Wounds Int. 2016;7(3):1-5.
  6. Wolcott R, Cutting KF, Ruiz JC. Association for the Advancement of Wound Care. Publication No. UKCT-A0021. 2008:12-17.
  7. Müller G, Kramer A. J Antimicrob Chemother. 2008;61(6):1281-1287.


Peer Perspectives

View clinical education resources to learn more about a biofilm-based wound management approach.

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Gregory Schultz, PHD

A comprehensive biofilm-based management approach: improving standard care for all wound types.

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Clinical Education Series

Dr. Shaun Carpenter discusses BBWM™ in clinical practice.

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BBWM Products

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A wound care center, or clinic, is a medical facility for treating wounds that do not heal. A team of health care providers trained in wound care can examine your wound and help create a treatment plan.

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