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ترشح التهابی زخم
Common causes of moisture-associated skin damage (MASD) include incontinence, wound exudate, fistula or stoma effluent, and perspiration.69 Skin damage from moisture is distinct from pressure damage, and differen- tiating the correct etiology between these two types of skin injuries is important for appro- priate treatment and prevention.69-72 (See Differentiating between MASD and pressure ulcers in the perineal and genital area, page 75.)
Biofilms stimulate inflammation, which increases vascular permeability and the production of wound exudate and buildup of fibrin slough.29 Therefore, slough may
The surrounding skin was protected with a skin barrier to prevent maceration from wound exudate.
As stated above, moisture-associated skin damage from wound exudate may cause mac- eration of the periwound skin.
The swab techniques most commonly used or advocated in the literature are swabs of wound exudate, swabs taken using a broad Z-stroke over the entire wound bed, and swabs using the technique described by Levine and colleagues.27,48,50-55
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