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However, when the wound becomes ‘chronic’ and non-healing with persistent, abnormal inflammation or when infection becomes established, exudate takes on a different guise and generates clinical challenges.
In the chronic wound, exudate contains proteolytic enzymes and other components not seen in acute wounds .
Exudate management is relevant to patient quality-of-life issues as it is often associated with leakage and malodour.
It impacts on health economics because failure to control exudate production will lead to increased management costs and patient morbidity.
This tool has the potential to assist in the accurate assessment of exudate and lend support in the decision-making process.
It offers a method of generating a score relevant to volume and viscosity.
It has also been shown that chronic leg ulcer exudate contains increased levels of HBP when compared to acute wound fluid .
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Exudate must be effectively managed if the optimal moist environment necessary for wound healing is to be created, and the surrounding skin protected from the risks of maceration.
The volume of exudate may be described using the terms shown in Table 3 . The Pressure Sore Status Tool a few thousand assessments later.
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