RNAO BPG Pressure Ulcers Stage I to IV - Faculty of Health ...

Appendix M: Clinical Signsand Symptoms of Wound InfectionSource: Sibbald, Orsted et al. (2006). Reprinted with permission.Nursing Best Practice GuidelineClinical Signs and Symptoms of Wound InfectionSuperficial, Increased Bacterial Burden (Critically Colonized) Deep Wound Infection Systemic InfectionNon-healingPainFeverBright red granulation tissueFriable and exuberant granulationNew areas of breakdown or necrosis on the woundsurface (slough)Increased exudates that may be translucent or clearbefore becoming purulentFoul odorSwelling, indurationErythemaIncreased temperatureWound breakdownIncreased size or satellite areasUnderminingProbing to boneRigorsChillsHypotensionMultiple organ failure97