OBOWE 2

This study opened to in September 2025 and aims to have a sample size of 20 at University Hospital Coventry.

The OBOWE2 Arden Tissue Bank study is to prospectively compare between wound microbiology and biosensor data by o collecting in situ wound odour data and offensive wound dressing data as part of the development of a novel wound care system.

Tel: 02476966198
Email: OBOWE2.StudyOffice@uhcw.nhs.uk

Study Information

Chief Investigator & Team

Chief Investigator: Professor Joe Hardwicke

Co-Applicant: Professor James Covington


Sponsor

University Hospitals Coventry and Warwickshire NHS Trust

Funder

Vocense Inc

Aim
  • To find out if an olfactory biosensor determines the presence of pathogenic bacteria in wounds that may lead to soft tissue infection?
  • The Olfactory Biosensors for Offensive Wound Evaluation 2(OBOWE 2) will assess the feasibility to undertake real time measurements and analysis in situ of wound odour and correlation with traditional wound microbiology analysis
Study Design

Single centre, prospective proof of concept study

Speciality

Surgery

Summary

Open wounds have the potential for infection which can lead to devastating outcomes for patients. Open wounds are common in patients undergoing plastic surgery and vascular surgery and are common in systemic diseases such as diabetes. At present the standard of care for large open wounds is to clinically assess them for infection by their clinical appearance (for example the presence of surrounding cellulitis in conjunction with signs of a systemic inflammatory response) and by wound swab microbiology analysis at the time of dressing change. Some wounds can have an offensive odour resulting from either specific bacterial colonization or from tissue necrosis. At present it is hard to distinguish between an infected malodourous wound and a colonized malodourous wound, apart from by expert clinical opinion. Traditional wound swab microbiology can take between 48h and 72h until a dominant bacterial strain can be identified, and so the malodourous and clinically infected wound is usually treated empirically with the “best guess” antibiotic. This can lead to the over prescription of antibiotics, and further problems such as antimicrobial resistance (AMR). An olfactory biosensor, or electronic nose, can detect volatile compounds emitted by bacteria and provide a point of care test for diagnosing bacterial colonization and possibly pathogenic strains of bacteria that could lead to wound infection and sepsis. With this additional information to add to the clinical picture, more appropriate use of antibiotics is anticipated, leading to improved patient outcomes

Planned Start Date

01 September 2025

Planned Duration

6 Months 

Target Sample Size

20

Results

Results will be published once the study has completed and all data analysed