Abstract
Venous leg ulcers (VLUs) are the most common cause of chronic leg wounds and a common problem in the elderly population. As chronic open wounds, VLUs are susceptible to microbial invasion. While treatment guidelines agree that cultures and treatment with antimicrobials are not routinely indicated, there is no consensus regarding which antimicrobials to use when there is clinical evidence of an infection. Options include systemic antibiotics, topical antibiotics and topical antiseptics. In addition to antimicrobial therapy, infected VLUs are managed with usual care (i.e. cleansing, including debridement when necessary, dressings and compression therapy).
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