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

Wound exampels:

Malignant wound on the scalp

Pubic region abscess cavity