Plasma medicine in Indonesian wound care: Clinical potential, implementation barriers, and practice recommendations

Authors

  • Warsono Warsono Department of Nursing Science, Faculty of Nursing and Health Science, Universitas Muhammadiyah Semarang, Semarang, Indonesia
  • Mudyawati Kamaruddin Graduate School of Medical Laboratory Technology Science, Universitas Muhammadiyah Semarang, Indonesia https://orcid.org/0000-0001-6932-1150
  • Rasheed Ahmad The International Center for The Chemical and Biological Sciences and HEJ Research Institute of Karachi University, Karachi, Pakistan

DOI:

https://doi.org/10.20956/icon.v10i2.49821

Keywords:

plasma medicine, wound care, wound therapy

Abstract

Both acute and chronic wounds remain significant challenges in Indonesian healthcare services. Postoperative wounds, diabetic ulcers, traumatic wounds, and infected wounds impose substantial clinical, financial, and psychosocial burdens on patients, families, and the healthcare system. The high incidence of non-communicable diseases, such as diabetes, limited availability of modern wound care facilities in many regions, and risk of nosocomial infections complicate the wound healing process and increase the length of hospital stay.

Plasma medicine, particularly nonthermal plasma (cold atmospheric plasma), has emerged as an innovative approach to wound care. Nonthermal plasma can generate reactive oxygen and nitrogen species, electric fields, and low-dose UV radiation, all of which collectively contribute to antimicrobial effects, modulation of inflammation, and stimulation of tissue regeneration without causing thermal damage to healthy tissue (Kamaruddin et al., 2024). Various studies have shown that plasma-based wound therapy can reduce microbial load, improve granulation, and accelerate wound closure, particularly in chronic, hard-to-heal wounds.

References

Darmawati, S., Hayati, D. N., Kamarudin, M., & Putri, G. S. A. (2022). TNF-α expression and new epithelial thickness in the skin of mice (Mus musculus) infected with MRSA by medical plasma treatment. Plasma Medicine, 12(4). https://doi.org/10.1615/PlasmaMed.2023047583

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Kamaruddin, M., Darmawati, S., Febiaocti, R. Y., Hayati, D. N., Putri, G. S. A., Noviasari, N. A., Utami, R. A. (2024). Exploring the effects of medical plasma treatment on MRSA-infected mice: A promising approach for pain relief therapy. Plasma Medicine, 14(1). https://doi.org/10.1615/PlasmaMed.v14.i1.40

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Syam, B., Ismail, M., Syam, Y., & Muslimin, M. (2025). Analysis of factors related to the incidence of methicillin-resistant Staphylococcus aureus (MRSA) at Makassar City Hospital. Indonesian Contemporary Nursing Journal, 9(2), 124–133. https://doi.org/10.20956/icon.v9i2.42403

Utami, R. A., Darmawati, S., Kamaruddin, M., & Mustofa, K. (2023). Trend of wound healing research across Indonesia: Medical plasma-activated natural substances as wound healing—a systematic review. In Proceedings of the 1st Lawang Sewu International Symposium 2022 on Health Sciences (LSISHS 2022) (pp. 362–374). Atlantis Press. https://doi.org/10.2991/978-94-6463-132-6_41

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Published

2026-02-17

How to Cite

Warsono, W., Kamaruddin, M., & Ahmad, R. (2026). Plasma medicine in Indonesian wound care: Clinical potential, implementation barriers, and practice recommendations. Indonesian Contemporary Nursing Journal (ICON Journal), 10(2), 272–275. https://doi.org/10.20956/icon.v10i2.49821

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