WOUND AND SKIN CARE: The role of bacterial toxins in wounds

July 2004 
Volume 34  Number 7
Pages 68 - 68
  PDF Version Available!


  • What to use?

  • What about the toxins?

  • Healing interventions



  • Figure. This infecte...

    SUPPOSE YOU'RE caring for an elderly patient with a large, infected Stage III pressure ulcer on his coccyx. The ulcer, which measures 10 x 12 cm (4 × 44/5 inches), consists primarily of beefy red granulation and is covered with foul-smelling, stringy gray-green drainage. At least 3 cm (11/5 inches) of erythema, edema, and induration surround the wound. A preliminary culture of the wound reveals Gram-positive cocci and Gram-negative bacilli.

    When you're developing your plan of care, consider the role the two types of bacterial toxins play in wound infection and healing.

    * Exotoxins are proteins produced and released into the body by bacteria. These toxins can cause specific diseases, such as diphtheria or tetanus, or act more ...

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