Healthy granulation tissue is pink in colour and is an indicator of healing. Unhealthy granulation is dark red in colour, often bleeds on contact, and may indicate the presence of wound infection. Such wounds should be cultured and treated in the light of microbiological results.
There are a number of tell-tale signs that your cut may be infected: The surrounding area becomes red, and this area gets larger over time. The area surrounding the wound becomes swollen, tender to the touch, or painful. The wound weeps off-color or odorous fluid; this pus may be yellow, greenish, or cloudy.
Maceration occurs when skin has been exposed to moisture for too long. A telltale sign of maceration is skin that looks soggy, feels soft, or appears whiter than usual. There may be a white ring around the wound in wounds that are too moist or have exposure to too much drainage.
Wound bed. Healthy granulation tissue is pink in colour and is an indicator of healing. Unhealthy granulation is dark red in colour, often bleeds on contact, and may indicate the presence of wound infection. Such wounds should be cultured and treated in the light of microbiological results.
Purulent Wound Drainage
Purulent drainage is a sign of infection. It's a white, yellow, or brown fluid and might be slightly thick in texture. It's made up of white blood cells trying to fight the infection, plus the residue from any bacteria pushed out of the wound.
Indicators of wound infection include redness, swelling, purulent exudate, smell, pain, and systemic illness in the absence of other foci. Subtle signs of local wound infection include unhealthy “foamy” granulation tissue, contact bleeding, tissue breakdown, and epithelial bridging.
Signs that a wound is not healing properly and may be infected include feeling warm to the touch, swelling, discharge or pus, long lasting pain, or fever.
Redness. The area may be swollen, sore, and red in color right after you've sustained your injury. This is normal as blood is being sent to the area to supply oxygen and other nutrients for healing. But if the wound is still red and swollen after five days, it's a sign that your body is not healing correctly.
Once the wound has formed a scab, there is no longer the need to cover it with a bandage as the scab now acts as a protective barrier. Keep the area clean, but be gentle so that you do not accidentally remove the scab.
When a scrape removes all of the layers of skin, new skin will form on the edges of the wound, and the wound will heal from the edges in to the middle. This type of scrape looks white at first, and fat cells may be visible. This type of scrape takes longer to heal.
Pain is an essential indicator of poor wound healing and should not be underestimated. Pain can occur from the disease process, surgery, trauma, infection or as a result of dressing changes and poor wound management practices.
Wounds generally heal in 4 to 6 weeks. Chronic wounds are those that fail to heal within this timeframe. Many factors can lead to impaired healing. The primary factors are hypoxia, bacterial colonization, ischemia, reperfusion injury, altered cellular response, and collagen synthesis defects.
Whether it's a surgical wound or one that seemed minor at first but is getting worse instead of better, any wound that's infected should be evaluated by a medical provider. Signs a wound may be infected include: Increasing pain or redness. Drainage or bleeding that won't stop.
Scabs can sometimes turn yellow as a wound heals. However, yellow scabs can sometimes indicate a skin infection, such as impetigo and cold sores.
overt (classic) signs of local infection: Erythema; local warmth; swelling; purulent discharge; delayed wound healing beyond expectations; new or increasing pain; increasing malodor.
You may have an infection if you notice any of these symptoms. The skin around your wound is red or sore, or feels hot and swollen. Your wound has liquid (often green or yellow pus) coming out of it. Your wound opens.
But if the injury continues to stay warm after the first five days, it is a positive sign as the body is fighting to keep bacteria or infection away. 2. Redness and Swelling - Again, shortly after you have sustained an injury, you may notice the area may be swollen and tender in addition to pink and reddish-toned.
Red Area: In the initial stages, wounds appear red due to the natural healing process. But if the red area around the injured site continues to increase even after 4-5 days of an injury, it is a telltale sign of an infected wound..
Examining a wound
Normal drainage is thin or slightly sticky. Thick, milky drainage is often a sign of an infection. Amount: Most wounds will have moderate drainage at first that slows down as the wound heals. Light or moderate drainage is considered normal.
This arises from damaged tissue. Signals are picked up by sensory receptors in nerve endings in the damaged tissue. The nerves transmit the signals to the spinal cord, and then to the brain where the signals are interpreted as pain, which is often described as aching or throbbing.
Fresh fruits and vegetables eaten daily will also supply your body with other nutrients essential to wound healing such as vitamin A, copper and zinc. It may help to supplement your diet with extra vitamin C. Keep your wound dressed. Wounds heal faster if they are kept warm.