Background
Wounds pose a significant yet often underappreciated burden to individuals, the healthcare system, and society. There is a dearth of data on wound disease burden in many resource-constrained countries, which greatly impacts management strategies.

Objective
The aim of this study was to assess clinical presentation, wound characteristics, and wound disease burden in Kenya.

Design
A multi-center cross-sectional study.

Setting
Eight selected hospitals, each in one county per province in Kenya, chosen through convenient sampling and purposive sampling for respondents.

Subjects/Participants
Patient history and physical examination were recorded by pre-trained wound assessment healthcare providers for those who presented with wounds. Questionnaires for both patients and healthcare professionals were used to assess causes, types, wound profiles, and age of patients.

Results
Trauma was the leading cause of wounds, contributing to 55% of cases, followed by post-surgical wound sepsis at 10%. The mean age of presentation was 35 years, and the most common site of wounds was the lower limbs. The majority of wounds presented with features of inflammation.

Conclusion
Trauma is a leading cause of wounds in this environment, with many progressing to chronic wounds, likely as a consequence of improper management. Multi-sectoral interventions are recommended to reduce trauma injuries and to provide specialized training for wound care professionals.