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enseignants",{"title":54,"url":55},{"title":57,"url":58},{"title":186,"group":48,"menu":187},"Produit",[188,189,190,191,192,193,194],{"title":38,"url":7},{"title":65,"url":66},{"title":68,"url":69},{"title":71,"url":72},{"title":74,"url":75},{"title":15,"url":77},{"title":195,"url":10},"Tarification",{"title":197,"group":48,"menu":198},"Mentions légales",[199,200,201,202,203],{"title":197,"url":84},{"title":86,"url":87},{"title":89,"url":90},{"title":92,"url":93},{"title":95,"url":96},{"title":205,"group":48,"menu":206},"Service client",[207,208,209],{"title":101,"url":102},{"title":104,"url":105},{"title":107,"url":108},{"content":211,"related":294,"meta":364,"internal":372},{"title":212,"leadIn":213,"category":214,"elements":217,"becomeAnExpert":247,"author":284,"readDuration":292,"readDurationFormatted":293},"4 key signs of wound infection—and what to do next","Think you know the signs of wound infection? Infections can escalate fast. Learn to recognize subtle red flags, swab the wound correctly, and start the right empiric treatment—so you can respond with confidence and prevent complications.",{"id":215,"name":216},1,"Course previews",[218,229,234,242],{"type":219,"data":220},"video",{"readDurationInSeconds":221,"video":222},236,{"platform":223,"name":224,"url":225,"size":226},"YouTube","How to Rapidly Identify and Treat Wound Infections (before they become deadly\u002Flife-threatening)","https:\u002F\u002Fwww.youtube.com\u002Fwatch?v=2uae9jjKJDg&t=108s",{"width":227,"height":228},200,113,{"type":230,"data":231},"free_text",{"readDurationInSeconds":232,"text":233},25.6,"\u003Cp>A wound that’s not healing as expected may be infected. Foul odor, tissue breakdown, and increasing drainage are common clues. Recognizing the signs of wound infection is critical.\u003C\u002Fp>\u003Cp>In this lesson from \u003Ca href=\"https:\u002F\u002Fwww.medmastery.com\u002Fcourses\u002Fwound-management-essentials\">our wound management course\u003C\u002Fa>, you’ll learn how to:\u003C\u002Fp>\u003Cul>\u003Cli>Spot underappreciated early indicators of infection\u003C\u002Fli>\u003Cli>Take a wound culture correctly and avoid the pitfalls of surface swabbing\u003C\u002Fli>\u003Cli>Choose the right sampling method: swab, aspiration, or biopsy\u003C\u002Fli>\u003Cli>Begin empiric treatment with confidence, before lab results are back\u003C\u002Fli>\u003Cli>Use antibiotics and antimicrobial dressings wisely\u003C\u002Fli>\u003Cli>Order lab tests to detect systemic infection\u003C\u002Fli>\u003C\u002Ful>\u003Cp>Whether you’re in primary care, outpatient clinics, or the emergency department, this course will sharpen your instincts and help you act decisively when an infection presents.\u003Cbr> \u003C\u002Fp>",{"type":235,"data":236},"cta",{"readDurationInSeconds":237,"text":238,"buttonText":239,"buttonUrl":240,"teachIllustration":241},3.7333333333333334,"Start the first chapter of our Wound Management Essentials course for free","Start chapter 1 now","https:\u002F\u002Fwww.medmastery.com\u002Fuser\u002Fregister?target=%2Fcourses%2Fwound-management-essentials","https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F9ac7c5af-101b-419f-9b67-e860368c8c5c",{"type":230,"data":243},{"readDurationInSeconds":244,"title":245,"text":246},116.26666666666667,"Transcript","\u003Cp>[00:03]\u003Cbr>Of course, no matter the etiology, all wounds are at risk of developing an infection. In fact, patients may even present with an infection upon their first visit. Therefore, we must be sure we can quickly identify that an infection is present and how to treat it. Wound infections can lead to severe complications like amputations, and even death. Initiating a management plan and identifying the organisms responsible will reduce morbidity and mortality.\u003C\u002Fp>\u003Ch3>Key signs of wound infection \u003C\u002Fh3>\u003Cp>[00:34]\u003Cbr>Let's go over key indications of infection. These could include a strong odor, a decrease in the quality of tissue to slough or eschar, granulation tissue that bleeds very easily, or an increase in the size of the wound. Changes to the periwound such as redness or hyperpigmentation may occur. The drainage may also increase in amount, become thicker or change color to dark yellow or green. The patient may complain of increased pain and warmth in the area. \u003C\u002Fp>\u003Ch3>Wound cultures \u003C\u002Fh3>\u003Ch4>Swab cultures\u003C\u002Fh4>\u003Cp>[01:08]\u003Cbr>A wound culture should be taken to identify organisms and select the appropriate antimicrobial. A wound swab is the most commonly used method. Here, the wound is cleansed with a solution that will not kill the bacteria before taking the culture to reduce the number of surface organisms in the sample. The swab should then be placed in the deepest portion of the wound and placed in a sterile container for transport to the lab. Not taking these steps will decrease the accuracy of the sample due to colonization of the wound.\u003C\u002Fp>\u003Ch4>Needle aspiration and tissue culture \u003C\u002Fh4>\u003Cp>[01:39]\u003Cbr>Additionally, infected fluid from the wound can be sent to the lab using a technique called needle aspiration. Tissue cultures obtained by sharp debridement or biopsy are usually more accurate as they are from deeper areas of the wound. This gives better identification of the organisms causing the infection versus surface organisms alone. However, there are some caveats to this method. To start, it requires special training and can, therefore, only be done by a qualified clinician. Additionally, it can be quite painful or may not be possible depending on the patient's location and equipment availability. \u003C\u002Fp>\u003Ch3>Treating wound infections \u003C\u002Fh3>\u003Cp>[02:19]\u003Cbr>Since it usually takes several days for a result, no matter which method is used to get the culture, treatment should be started empirically. Patients may be given either topical antibiotics applied to the wound bed or oral antibiotics if there are signs that the patient is being affected systemically. Dressings with antimicrobial properties can also be used on the wound to improve the infection. There should be a high index of suspicion for infection before starting antibiotics to prevent the development of multidrug-resistant organisms.\u003C\u002Fp>\u003Ch3>Assessing wound infection severity \u003C\u002Fh3>\u003Cp>[02:54]\u003Cbr>Bloodwork to identify the presence of systemic infection should also be taken. You should order a complete blood count with differential, as well as inflammatory markers such as C-reactive protein, erythrocyte sedimentation rate and procalcitonin. New technology is also available that shows the infected areas of the wound when a photo is taken with the device. This device uses specialized light imaging technology to identify the presence of microorganisms. Patients with severe infections may need to be hospitalized for intravenous antibiotics and the surgical removal of infected tissue from the wound bed.\u003C\u002Fp>",{"courses":248,"showAwardsBelow":48},[249,267],{"id":250,"isFreeCmeCourse":251,"title":252,"type":253,"specialization":254,"teachers":256,"cmeCredits":215,"teacherIllustration":241,"backgroundImage":258,"relativeUrl":259,"lastChanged":260,"created":261,"description":262,"relativeURL":259,"meta":263},13268,false,"Wound Management Essentials","course",[255],"Dermatology and Wound Care",[257],"Maria S. Goddard, MD CWS MAPWCA","https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F9b82db36-fc90-426b-adc4-965342376ebc","\u002Fcourses\u002Fwound-management-essentials","1763556351","1715638905","How often have you encountered a chronic, non-healing wound and hesitated to manage it yourself? This course equips you with wound care fundamentals, empowering you to assess and treat wounds with greater confidence. You'll learn to initiate appropriate treatment plans, including interventions, dressing selection, and help reduce the morbidity and mortality that result from wound treatment delays.",{"duration":264,"quizzes":265,"lessons":266},3349,4,20,{"id":268,"isFreeCmeCourse":251,"title":269,"type":253,"specialization":270,"teachers":272,"cmeCredits":274,"teacherIllustration":275,"backgroundImage":276,"relativeUrl":277,"lastChanged":260,"created":278,"description":279,"relativeURL":277,"meta":280},12076,"Acute Extremity Injury Care",[271],"Emergency medicine and critical care",[273],"Siamak Moayedi, MD",2,"https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F99f55e94-e782-4ef3-b2ed-7e0286e6236d","https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F99f55e95-edc6-495a-bb17-86e2d4f08127","\u002Fcourses\u002Facute-extremity-injury-care","1678751418","Manage common adult extremity injuries in emergency settings like a pro. Upon completion of this course, you will be able to professionally document fractures, create and apply various types of splints, and decide when to refer to a specialist for injuries that are prone to complications.",{"duration":281,"quizzes":282,"lessons":283},5840,6,31,{"id":285,"name":257,"image":286,"profession":287,"relativeUrl":290,"specializations":291},12061,"https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F9c43cf03-6701-4db1-bc0a-b9f63e63a688",{"name":288,"description":289},"Wound care specialist","Maria is the CEO of Goddard Medical, LLC, and Chair of the Communication Committee of the Association for the Advancement of Wound Care (AAWC).","\u002Fteachers\u002Fmaria-s-goddard-md-cws-mapwca",[255],157,"3m",[295,321,340],{"id":296,"title":297,"text":298,"image":299,"author":307,"path":315,"readDuration":316,"readDurationFormatted":293,"internal":317},1350,"How to Recognize INOCA (ANOCA) on an Exercise Stress Test ","Angina, abnormal stress test, clean coronaries—that's INOCA (or ANOCA), and it carries real risk. Learn to recognize and report it with exercise stress ECG.",{"alt":300,"title":301,"size":302,"location":304},"Illustration of the heart's coronary vasculature showing large coronary arteries and the extensive network of smaller vessels affected in INOCA (ischemia with nonobstructive coronary arteries).","",{"width":303,"height":303},1200,{"bucket":305,"key":306},"public-drupal-medmastery-assets-production","\u002F2026-05\u002FC17(1)_magazine image_0.png",{"id":308,"title":309,"relativeURL":310,"image":311,"professionLong":312,"profession":313,"weight":265},1563,"Franz Wiesbauer, MD MPH","\u002Fteachers\u002Ffranz-wiesbauer-md-mph","https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F9c43cef0-41ee-4005-9e4a-d8711c816401","Franz is the founder and CEO of Medmastery. He is an internist with a specialization in cardiology and a master’s in public health from Johns Hopkins University.",{"name":314},"Internist","\u002Fmagazine\u002Fexercise-stress-ecg-inoca",141,{"created":318,"updated":319,"published":320},1778115738,1778118425,1778118255,{"id":322,"title":323,"text":324,"image":325,"author":331,"path":333,"readDuration":334,"readDurationFormatted":335,"internal":336},1348,"Hyperlipidemia screening: who, when, & what to measure","Testing for hyperlipidemia can help you mitigate your patients' cardiovascular risk. Learn who to screen and when, which measures to request, and how to stratify risk.",{"alt":326,"title":301,"size":327,"location":329},"Lipid panel blood sample tubes used to test for hyperlipidemia in a laboratory setting",{"width":328,"height":328},600,{"bucket":305,"key":330},"\u002F2026-04\u002FC121_magazine image.png",{"id":308,"title":309,"relativeURL":310,"image":311,"professionLong":312,"profession":332,"weight":265},{"name":314},"\u002Fmagazine\u002Ftest-for-hyperlipidemia",246,"5m",{"created":337,"updated":338,"published":339},1777403036,1777572381,1777412421,{"id":341,"title":342,"text":343,"image":344,"author":349,"path":357,"readDuration":358,"readDurationFormatted":359,"internal":360},1347,"Outpatient care for COPD exacerbations","Most acute COPD exacerbations can be managed with outpatient treatment. Learn how to treat mild and moderate COPD exacerbations—and when to escalate care.",{"alt":345,"title":301,"size":346,"location":347},"Older patient using a handheld nebulizer to inhale bronchodilator medication during an acute COPD exacerbation",{"width":328,"height":328},{"bucket":305,"key":348},"\u002F2026-04\u002FC133(4)_ exacerbations_magazine image.png",{"id":350,"title":273,"relativeURL":351,"image":352,"professionLong":353,"profession":354,"weight":356},5365,"\u002Fteachers\u002Fsiamak-moayedi-md","https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F9c43cf02-1064-4074-817b-0eb5de6ded74","Professor and Director of Medical Student Education, University of Maryland and Course Director, Essential and Critical Procedures, Emergency Medicine.",{"name":355},"Emergency medicine physician",1533,"\u002Fmagazine\u002Facute-copd-exacerbation-treatment",191,"4m",{"created":361,"updated":362,"published":363},1776705362,1776710540,1776710541,{"seo":365,"og":368},{"title":366,"description":367},"Signs of wound infection, how to swab, and when to treat | Medmastery","Recognizing early signs of wound infection is key! Learn what every clinician should know—from important red flags to the right way to take a wound culture.",{"title":369,"description":370,"image":371},"Key signs of wound infection and what to do next | Medmastery","Recognizing early signs of wound infection can change the outcome. Learn what every clinician should know—from key red flags to the right way to take a wound culture.",null,{"id":373,"created":374,"updated":375,"published":376},1326,1755195329,1761682750,1755559587]