Chronic wounds are highly prone to infection, which interferes with the wound healing process. For this reason, eliminating any underlying infection is an essential part of Dr. Brem's wound treatment protocol. Surgical debridement of the wound to physically remove infected wound tissue is an important element of this process. If analysis of the debrided wound tissue indicates that bacterial infection is still present, the patient will be treated with antibiotics tailored to that particular bacteria strain, including intravenous antibiotics and/or oral antibiotics as needed. If the infection persists despite antibiotic therapy, Dr. Brem may do additional debridement procedures until the infection has been eliminated.