Clinical manifestation of infection |
IDSA Infection severity |
PEDIS grade |
|
Wound without purulence or any manifestation of inflammation |
Uninfected |
1 |
|
Two or more manifestations of inflammation (purulence or erythema, pain, tenderness, warmth or induration); any cellulitis or erythema extends up to 2 cm around ulcer, and infection is limited to skin or superficial subcutaneous tissues; no local complications or systemic illness |
Mild |
2 |
|
Infection in a patient who is systemically well and metabolically stable but has one or more of the following: cellulitis extending for more than 2 cm; lymphangitis; spread beneath fascia; deep tissue abscess; gangrene; muscle, tendon, joint or bone involvement |
Moderate |
3 |
|
Infection in a patient with systemic toxicity or metabolic instability (e.g. fever, chills, tachycardia, hypotension, confusion, vomiting, leukocytosis, acidosis, hyperglycaemia or azotaemia) |
Severe |
4 |
|