Management of infection



"Microbial involvement must be suspected when other causes have been eliminated" 1

According to the 2006 European Wound Management Association position document on "Management of wound infection" the principles of infection management are to:1

  • "Provide an environment to promote rapid healing
  • Minimise the use of antimicrobial agents that may adversely affect human cells
  • Use antimicrobial agents appropriately to reduce the selection of resistant strains
  • Restrict the use of systemic agents to when they are specifically indicated
  • Avoid topical sensitisation or allergic reactions"

The choice of dressing to minimise the risk of infection is important. "Decisions need to be based on the ability of the dressing to:

  • Manage increased exudation
  • Remove necrotic tissue
  • Reduce malodour
  • Conform to the site and shape of the wound
  • Perform wound bed preparation functions
  • Satisfy patients' expectations
  • And meet treatment goals"1

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