Infected wound

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Wound infections are the infestation of these by one or more species of microorganisms.

Bacteria, fungi and viruses can cause this condition. The type of microorganisms that most commonly infect wounds depends on the environment in which it has been produced, the individual's immune status and the depth of the wound.

The general signs and symptoms are redness and discoloration, swelling and firmness of the area, sloughing, stinging, hard or tense skin, red spots or streaks and sometimes fever, particularly if the infection reaches the bloodstream.

The diagnosis is based on observation, physical examination and signs and symptoms. The laboratory tests are very useful to identify the microorganism responsible and determine the antimicrobial treatment that will be most effective.

Many bacterial or superficial viral infections resolve on their own without the need for treatment. Other bacterial infections will only require topical antimicrobial treatment and, in some cases, incision and drainage are required. Deep infections, as well as persistent ones, often require oral antibiotic treatment.

Bibliographic references
  1. Pagana, Kathleen D. & Pagana, Timothy J. (© 2007). Mosby's Diagnostic and Laboratory Test Reference 8th Edition: Mosby, Inc., Saint Louis, MO. Pp 1011-1012.
  2. Forbes, B. et. al. (© 2007). Bailey & Scott's Diagnostic Microbiology, Twelfth Edition: Mosby Elsevier Press, St. Louis, Missouri. Pp 891 – 903.
  3. Wu, A. (2006). Tietz Clinical Guide to Laboratory Tests, Fourth Edition. Saunders Elsevier, St. Louis, Missouri. Pp 1611-1612.
  4. Thomas, Clayton L., Editor (1997). Taber's Cyclopedic Medical Dictionary. F.A. Davis Company, Philadelphia, PA [18th Edition].
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Symptoms

    Cut or wound


    Pus in wound


    Fever / Feel very hot


    Overweight or obese, BMI between 25 and 29.9


    Obesity, BMI higher or equal to 30

Symptoms to watch out for

Fever (temperature higher than 100.4 ºF)
Persistence of symptoms for more than two weeks after initial treatment

Self-care

Wash the wound thoroughly with soap and water.
Change the bandage at least once a day.
Avoid blowing on the wound.
Maintain hand and nail hygiene.