Management of biofilm in chronic wounds is rapidly becoming a primary objective of wound care. However management of biofilm is an undeniably complex task. Beyond the basic steps of initial prevention (use of anti-biofilm agents), removal (debridement, desloughing) and prevention of reformation (use of antimicrobial agents), there are myriad patient, environmental and clinical parameters that must be considered when identifying a tailored solution. Systemic treatment strategies are required for infected chronic wounds, whereas in noninfected wounds where the presence of biofilm is impeding healing, strategies can be adopted to break up the biofilm. The antimicrobial effects of various lasers have been studied in vitro, and most reports have indicated that laser irradiation is useful for bacterial suppression. In the present case report we discuss the use of low level laser therapy in chronic leg wound.

Keywords: Biofilm; Chronic Wound; Low Level Laser Therapy.