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

1Plastic Surgery Team Maria Pia Hospital Turin, Director of IAWC - Italian Academy Wound Care, Italy
2Department of Plastic and Reconstructive Surgery, University of Padua, Padua University Hospital, Italy
3Keck School of Medicine of University of Southern California (USC), USA
4Intensive Care Unit Hospital Center of Vila Nova de Gaia/Espinho, Portugal
5Department of Plastic Surgery, Hospital Universitario de Maracaibo, Venezuela
6Associative Research Group in Feridas (GAIF), Portugal
7Faculty of Medicine of the University of São Paulo, Brazil
8Anesthesia Reanimation Maria Pia Hospital Turin, Italy
9Department 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,
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 

Fulltext PDF


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 pressure ulcer 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.




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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