French adaptation of Wound Hygiene in the management of pressure injuries: recommendations from SFE experts

Pressure injuries (PIs) represent a major healthcare challenge due to their high prevalence, impact on quality of life, and associated clinical and economic burden. Delayed healing is frequently linked to the presence of biofilm, now recognised as a key barrier to wound resolution. The Wound Hygiene protocol, developed at an international level, proposes a structured approach to disrupt and prevent biofilm through early and repeated local interventions. This article presents the French adaptation of this protocol for the management of PIs, developed by experts from the Société Française de l'Escarre (SFE). The adapted framework integrates a comprehensive initial assessment followed by four key steps-cleansing; debridement; refashioning of the wound edges; and appropriate dressing selection-applied systematically throughout the care pathway. This approach promotes a proactive and standardised management of wounds, addressing both local and systemic factors that influence healing. By providing clinically relevant and context-specific guidance, this adaptation aims to support healthcare professionals in improving care practices, optimising healing outcomes, and reducing the burden associated with PIs.