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. 2015 Sep 4;2015(9):CD009061. doi: 10.1002/14651858.CD009061.pub2
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