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Hi. This may sound silly, but what criteria is there to consider a wound infected? I often see one criteria met and iv ABT ordered, such as erythema no pruluence or fever but no signs of local infection. Is there a specific set of criteria to deem a wound infected vs inflammation ? Thank you.
Oct 8, 2019 by Melissa Khoo,
1 replies
Elaine Horibe Song
Hi Melissa
Thank you for your question. One set of criteria used to assess presence of local or deep infection is described below:
- NERDS: Nonhealing, increased Exudate, Red and friable tissue, Debris, Smell. Any 3 = local infection. Consider antiseptic cleansers and antimicrobial dressings
- STONEES: increased Size, increased Temperature, Os (Orifice), New breakdown, increased Exudate, increased Erythema/edema (cellulitis), Smell. Any 3 = deep infection. Same as for NERDS + start systemic antibiotics. If indicated, consult with emergency department, infectious disease specialist
-Prep and Dress Tool: https://woundreference.com/assess?dressing=true
-Woo KY, 2009: https://woundreference.com/app/reference?id=1810
Oct 8, 2019
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