The Rational Clinical Examination
David L. Simel, Drummond Rennie
Chronic Wound Infection
David L. Simel
Make the Diagnosis: Infection of Chronic Wounds
levine technique, make the diagnosis, prior probability, soft tissue mass biopsy
"Chronic wounds are those that have not undergone an orderly healing process. This imprecise definition requires judgment about when a wound has become chronic. Not all chronic wounds are infected. Among patients with chronic wounds evaluated in the highest-quality clinical studies, the prevalence of infected wounds was 45% (95% CI, 32%-58%). Because of the heterogeneity (I2=82%) that is seen through the broad CI, a useful way to remember this is that about half of chronic wounds will be infected, with a range of about one-third to two-thirds.1..."
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