Wound healing involves a complex series of biochemical events and has traditionally been managed with 'low tech' dressings and bandages. The concept that diagnostic and theranostic sensors can complement wound management is rapidly growing in popularity as there is tremendous potential to apply this technology to both acute and chronic wounds. Benefits in sensing the wound environment include reduction of hospitalization time, prevention of amputations and better understanding of the processes which impair healing. This review discusses the state-of-the-art in detection of markers associated with wound healing and infection, utilizing devices imbedded within dressings or as point-of-care techniques to allow for continual or rapid wound assessment and monitoring. Approaches include using biological or chemical sensors of wound exudates and volatiles to directly or indirectly detect bacteria, monitor pH, temperature, oxygen and enzymes. Spectroscopic and imaging techniques are also reviewed as advanced wound monitoring techniques. The review concludes with a discussion of the limitations of and future directions for this field.

A real‐time, sensitive, and selective detection device to monitor the healing status of chronic wounds at the point of care is urgently required to render the management of this disease more effective. The photonic properties of porous silicon resonant microcavity (pSiRM) afford an excellent opportunity to be developed as a highly sensitive optical biosensor to monitor the presence of specific biomarkers found in the wound exudate, such as matrix metalloproteinases (MMPs). In this study, the pSiRM is designed, fabricated, and functionalized using a fluorogenic MMP peptide substrate featuring both a fluorophore and a quencher. The peptide‐functionalized pSiRM is then employed as a fluorescence‐based optical biosensor for MMPs. Active MMPs recognize and cleave the peptide sequence of the substrate, producing an immobilized peptide fragment carrying the fluorophore. The fluorescence intensity of the fluorophore embedded within the pSiRM matrix is enhanced by the photonic structure of the pSiRM compared to other pSi photonic structures. This fluorescence enhancement translates into high sensitivity, enabling detection of MMP‐1 at a limit of detection as low as 7.5 × 10−19 m after only 15 min incubation time. Finally, the biosensor also allows the detection and quantification of the concentration of MMPs in human wound fluid.

International audienceIn this report, a polymer-filled porous silicon (pSi) structure is described that is able to detect changes in temperature around a critical value en route to developing a temperature sensor deployed in wounds dressings that signals inflammation or infection of the wound bed. Using surface-initiated atom transfer radical polymerization (SI-ATRP), thermoresponsive poly(N-isopropylacrylamide) (PNIPAM) chains are grafted onto pSi layers with different porosity and pore size and the optical changes (effective optical thickness below and above the lower critical solution temperature (LCST)) are monitored via interferometric reflectance spectroscopy. Six etching conditions and three different surface functionalization conditions are explored in order to optimise the optical response to temperature change. Thermally oxidised pSi samples with the highest investigated porosity (80%) show the largest optical response and will be the target for developing optical sensors of wound temperature

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