World J Surg Surg Res | Volume 3, Issue 1 | Review Article | Open Access

Practical Management of Skin Lesions during COVID-19 Pandemic – IAWC International Academy of Wound Care

Ligresti C1*, Facchin F2 , Armstrong DG3 , Carvalho Guedes MJ4 , Oliveros C5 , Marques Rodrigues A6 , Sanches-Pinto DC7 , Spagnolo L8 , Verdù J9 , Clerici G10, Maino C11, Montolese A12, Ottonello M13, Penna F14, Scarpa C2 , Soldevilla Agreda J15, Caravaggi C16, Navarro W17 , Guillermina AV18, Velasquez G19, Blasco Garcia C20, Bolgiani A21, Cordero MD22, Finotti E23 , Del Rocio Gonzalez Garcia M24, Valle Freitas Serra MC25, Yaya Ortiz L26, Yaya Ortiz S27 and Bassetto F2

1 Plastic Surgery Team Maria Pia Hospital Turin, Director of IAWC - Italian Academy Wound Care, Italy 2 Department of Plastic and Reconstructive Surgery, University of Padua, Padua University Hospital, Italy 3 Keck School of Medicine of University of Southern California (USC), USA 4 Intensive Care Unit Hospital Center of Vila Nova de Gaia/Espinho, Portugal 5 Department of Plastic Surgery, Hospital Universitario de Maracaibo, Venezuela 6 Associative Research Group in Feridas (GAIF), Portugal 7 Faculty of Medicine of the University of São Paulo, Brazil 8 Anesthesia Reanimation Maria Pia Hospital Turin, Italy 9 Department of Community Nursing, Preventive Medicine and Health Public and History of Science, Spain 10Diabetic Foot Units San Carlo Hospital - Paderno Dugnano, Milan, Italy 11Pressure Injuries Observatory/Advanced Medication Clinic, DPS, ASST, USA 12S.C. Dermatology Local Health Authority of Reggio Emilia - IRCCS Head of Dermatology Unit, Arcispedale Santa Maria Nuova, Reggio Emilia, Italy 13Plastic Surgery as Suwaidi Hospital Dr. Sulaiman Al Habib Group Riyadh, Saudi Arabia 14Medical Director of the FKT Hospital of Asti, Italy 15Consultorio de Ausejo Servicio Riojano de Salud, Logrono, Spain 16Diabetic Foot Units Multimedica Group - IRCCS Sesto San Giovanni Milan, San Giuseppe Hospital Milan, Italy 17Department of Plastic Surgery, Reconstructiva y Quemados Hospital Arzobispo Loayza Lima, Peru 18Secretariat of Health of Mexico, Mexico 19Diabetic Foot Center Pierangeli Nursing Home, Pescara, Italy 20Germans Trias i Pujol University Hospital of Badalona, Barcelona, Spain 21Burns from the Benaim Hospital Aleman Mexico Foundation, Mexico 22Miami, USA 23Medical Toxicology, Cognitive Behavioral Psychotherapy Department Committee "Addiction Pathology" of Turin, Italy 24Department of Cardiac Surgery, Montevideo, Uruguay 25Federal Hospital of Andarai, Brazil 26Critic Pontificia Universidad Javeriana, Colombia 27Universidad del Valle, Fundación Santa Fé de Bogotá, Colombia

*Correspondance to: Claudio Ligresti 

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Chronic wounds are an important burden for all the healthcare systems in the world. Their management requires constant follow up by specialized personnel and daily care by patients themselves. The spread of COVID-19 pandemic and the need for social distancing and limited hospital access caused significant limitation of patients’ access to treatment, affecting in particular chronic wounds patients. In fact, due to the advanced age and the associated comorbidities, they are patients at higher risk of infection and lethality from COVID-19. In addition, an increase of Pressure Ulcers (PU) was observed worldwide, due to the dramatic number of patients immobilized in Intensive Care Unit (ICU), with systemic viral infection. Furthermore, prone position pressureulcer and PPE related ulcers have increased during pandemic. International recommendations are to be collected among healthcare providers and shared with patients in order to improve the management of ulcers in COVID-19 cases. Italian Academy of Wound Care organized and coordinated the International Wound Care Group – COVID-19, made up of around 30 experts to develop a document in support of chronic ulcers best practice during COVID-19. The scientific rationale of this Booklet is to summarize knowledge regarding the management of chronic wounds and analyze the impact of an higher rate pressure ulcers in hospitalized patients. The aim of the author is to collect a short and quote; Operating Manual and quote, concerning the management of chronic ulcers in the COVID-19 period. The chosen formula of booklet for quick consultation, easy to understand, will allow anyone who consults it to apply it immediately in daily practice at home and at the hospital.


Covid-19; Covid; Corona Virus; Coronavirus disease 2019


Ligresti C, Facchin F, Armstrong DG, Carvalho Guedes MJ, Oliveros C, Marques Rodrigues A, et al. Practical Management of Skin Lesions during COVID-19 Pandemic – IAWC International Academy of Wound Care. World J Surg Surgical Res. 2020; 3: 1253.

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