Authors: Hasan Gökcer Tekin, MD, Christian Kaare Paaskesen, Med. Stud, Magnus Avnstorp, MD, Bjørn Thomas Crewe, MD and Consultant wound specialist
Definition: Critical bacterial colonization resulting in tissue damage
Description: Malodor. Yellow/green slough or thick exudate that can be wiped off wound bed. Breakdown of vital and non-vital tissue. Periwound skin with swelling, pain and spreading erythema.
Treatment aim: Manage bacterial colonization and reduce bacterial load. Debridement of infected tissue and consider systemic antibiotic treatment according to the microbial strains.
Wound dressing (dry wounds): Hypotonic-moistened gauzes, antimicrobial ointments/crèmes, impregnanted tulles
Wound dressing (wet wounds): Hypotonic-moistened gauzes, alginates, medical honey dressings, composite silver dressings