2019_WUWHS-Exudate_WINT web (2)
… Effects of abnormal exudate composition Exudate produced by slow-healing wounds is different to that of healing or acute wounds and often has higher levels of inflammatory mediators and proteolytic enzymes (Table 2). … Indeed, when protease activity in a wound is elevated, there is a 90% chance that the wound will not heal (Moore & Strapp, 2015). Furthermore, if the exudate comes into contact with periwound skin, it can damage the skin and even cause wound expansion (Wounds UK, 2013). 10 Figure 2: Periwound maceration Periwound skin damage (photograph courtesy of Dr Periwound skin damage includes maceration and erosions of the skin surface (Figure 2). … Dowsett C (2015) Breaking the cycle of hard-to-heal wounds: balancing cost and care. Burns 3: 159–65 Wounds International 6(2): 17–21 Lawton S (2009) Assessing and managing vulnerable periwound skin. …
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