Registered Nurses´ Association of Ontario

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Clinical Signs and Symptoms of Wound Infection

Superficial, Increased Bacterial Burden (Critically Colonized) Deep Wound Infection Systemic Infection
Non-healing

Bright red granulation tissue

Friable and exuberant granulation

New areas of breakdown or necrosis on the wound surface (slough)

Increased exudates that may be translucent or clear before becoming purulent

Foul odor

Pain

Swelling, induration

Erythema

Increased temperature

Wound breakdown

Increased size or satellite areas

Undermining

Probing to bone

Fever

Rigors

Chills

Hypotension

Multiple organ failure

 

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Registered Nurses´ Association of Ontario