Biofilm-based solutions are an important part of the management of chronic wounds and preventing infection, combining wound cleansing with debridement and application of topical antimicrobials (Wolcott and Fletcher, 2014). Water and saline are not antimicrobial and do not actively promote wound healing, while highly reactive solutions and commercially available products do little to control wound bacteria and may interfere with natural healing (Fernandez et al, 2010). This study evaluated the clinical efficacy, cost-effectiveness, and tolerability of Woundox, a powerful antimicrobial cleanser, in patients with complex venous leg ulcers and diabetic foot ulcers. Improvement and progression towards healing were noted in 4 weeks in both aetiologies.