Table 1.
Wound Surface (cm2) | Tissue Damage | RYB | Infection acc. to NERDS/STONES [23] | CRP (0–5 mg/L) | Exudation | ABI R/L | |
---|---|---|---|---|---|---|---|
Case I Woman, age 64 | 55 | full thickness of the skin | Yellow | YES/NO | 25 | medium | (0.9)/(1.0) |
Case II Woman, age 87 | 78 | full thickness of the skin | Yellow | YES/NO | 76 | large | (0.8)/(0.8) |
Case III Woman, age 68 | 86 | full thickness of the skin | Yellow | YES/NO | 84 | large | (0.8)/(0.9) |
NERDS—features of superficial infection (lack or poor healing, exudate, exuberant granulation tissue, necrotic tissue). STONES—features of deep infection (wound enlargement, increase in temperature in the wound, exposed tendon, bone, stench, increased exudate, phlegmon, new area of damage) [23].