IMR Press / FBE / Volume 15 / Issue 2 / DOI: 10.31083/j.fbe1502009
Open Access Review
Ozone as a Topical Treatment for Infected Dermal Wounds
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1 Birck Nanotechnology Center, Purdue University, West Lafayette, IN 47907, USA
2 School of Mechanical Engineering, Purdue University, West Lafayette, IN 47907, USA
3 School of Electrical and Computer Engineering, Purdue University, West Lafayette, IN 47907, USA
4 School of Materials Engineering, Purdue University, West Lafayette, IN 47907, USA
*Correspondence: (Rahim Rahimi)
These authors contributed equally.
Front. Biosci. (Elite Ed) 2023, 15(2), 9;
Submitted: 23 August 2022 | Revised: 12 December 2022 | Accepted: 3 January 2023 | Published: 19 April 2023
Copyright: © 2023 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.

Dermal wound infections are a rising source of morbidity and mortality in patients worldwide as new and worsening complications reduce the efficacy of traditional treatments. These challenges in wound care are increasingly caused by comorbidities such as obesity and diabetes as well as surging rates of antibiotic resistance. As a result, there is an urgent need for alternative treatment options. Gaseous ozone has shown great promise as a potential new treatment for infected dermal wounds. In this brief review of current wound therapy techniques found in the literature, an in-depth discussion of the mechanisms, benefits, and results of topical ozone gas as a therapy for infected dermal wounds is presented. This includes studies of ozone applied to wounds performed in vitro, in vivo, and clinical settings, as well as the use of ozone as an adjunct therapy for increasing the efficacy of traditional treatments. The overwhelming evidence suggests that ozone exhibits significant antimicrobial properties and has been shown to promote wound healing factors, especially when applied between 5–60 ppm. As such, this promising alternative therapy warrants a significant investment of time and resources to fully utilize ozone as an effective treatment against antibiotic resistant bacteria and other rising challenges in wound treatment.

wound therapy
topical administration
adjunct therapy
antibiotic resistance
School of Materials Engineering at Purdue University
Fig. 1.
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