Ten top tips: identification of wound infection in a chronic wound

2015, Vol 6, No 2, pages 22–27

Wound healing is a complex process that can be interrupted or impaired by a variety of factors. This article will focus on the microbial bioburden in chronic wounds. The classic signs of infection may not be obvious in patients who are immunocompromised, such as people with diabetes mellitus, those with peripheral vascular disease, or those taking medications that dampen inflammation, such as steroids. That is why clinicians and patients should be aware of the secondary signs and symptoms of wound infection. The International Wound Infection Institute (IWII) presents ten top tips focusing on the identification of wound infection in a chronic wound.


  • Terry Swanson

    Nurse Practitioner, South West Healthcare, Australia

  • David Keast

    Wound Care Theme Leader, St Joseph's Parkwood Hospital London, Canada

  • Rose Cooper

    Professor of Microbiology, Cardiff School of Health Sciences, Cardiff, Wales

  • Joyce Black

    Associate Professor of Nursing, University of Nebraska Medical Center, USA

  • Greg Schultz

    Professor, Institute for Wound Research, Department of Obstetrics and Gynecology, University of Florida, Gainesville, Florida, USA

  • Kerlyn Carville

    Registered Nurse, Silver Chain Nursing Association & Curtin University of Technology, Western Australia

  • Jacqui Fletcher

    Independent wound care consultant , Bedfordshire, UK

  • Donna Angel

    Nurse Practitioner, Wound Management, Royal Perth Hospital, Australia