A nursing home or long term facility resident with a decubitus or pressure ulcer may develop an infection of the site. McGeer et al developed criteria for identifying these infections.
Criteria for infected pressure ulcer – one or both of the following:
Criterion 1: presence of purulence in the pressure ulcer
Criterion 2 - 4 or more of the following:
(1) temperature of 100.4°F or higher, OR worsening of functional/mental status
(2) new or increasing heat at wound site
(3) new or increasing redness at wound site
(4) new or increasing swelling at wound site
(5) new or increasing tenderness at wound site
(6) new or increasing serous drainage at wound site
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