- When a client with an ulcer develops sudden pain, a bacterial infection may be present.
- An infection may be indicated based on the presence of bacteria/gram tissue.
- The presence of bacteria in a leg ulcer, however, does not mean that it is infected as all chronic ulcers can be colonized by microorganisms which are not producing any inflammatory reaction.
- A diagnosis of infection should therefore be made on clinical evidence, e.g., cellulitis.
- A clinical assessment is recommended if infection is suspected.
- Signs and symptoms of venous leg ulcer infection:
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Increased pain |
Fever |
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New areas of wound breakdown |
Rigors |
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Friable granulation tissue |
Chills |
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Foul odour |
Hypotension |
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Increased exudate |
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Bright red granulation tissue |
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Bridging of soft tissue and epithelium |
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Erythema >2cm beyond the border of the wound |
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Increase in ulcer size |
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Clinical Management
Assessment and Management of Venous Leg Ulcers
Point of Care Resources