WOUND & SKIN CARE: Wound bed preparation: The key to success for chronic wounds, part II
CAROL CALIANNO RN, CWOCN, MSN
PAMELA JAKUBEK RN, CWOCN, MSN

$3.95
Nursing2014
March 2006 
Volume 36  Number 3
Pages 76 - 77
 
  PDF Version Available!

ABSTRACT


CALIANNO, CAROL RN, CWOCN, MSN; JAKUBEK, PAMELA RN, CWOCN, MSN

IN OUR FEBRUARY COLUMN, we described assessing a patient with a chronic wound, relieving pain, and debriding the wound. Now let's look at managing infection and choosing a dressing.

Managing the bacterial load

All chronic wounds contain bacteria, and that's not necessarily bad; low levels of bacteria can stimulate the inflammatory phase of wound healing. But higher levels impair healing. The level of bacteria determines whether the wound is truly infected.

If the patient has decreased resistance because of immunosuppression, diabetes, or malnourishment, even low levels of bacteria can cause serious infection.

Wounds containing bacteria are categorized as follows:

* Contaminated: Bacteria are present on the wound surface, but haven't multiplied. * Colonized: Bacteria have multiplied on the wound surface but haven't invaded the wound tissue. Contamination ...

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