History: The individual will complain of increased pain in the incision and operative area. Individuals may report feeling feverish or chilled. Physical exam: The cardinal signs of wound infection are one or more of the following: pain, tenderness, localized swelling, redness, or heat. The examining physician may notice swelling along the incision that causes increased tightness of the sutures. Lightly feeling (palpating) the wound may reveal hard, warm areas that the patient reports as being tender. The doctor may cut the sutures to allow further inspection of a portion of the incision. The individual will often guard the incision during movement. Tests: Cultures and antibiotic sensitivity testing of wound drainage are taken. A complete blood count (CBC) and erythrocyte sedimentation rate (ESR) may be done. Other tests include identifying specific proteins on the infective organism using immunoassay techniques or looking for specific antibodies. Laboratories may now use RNA or DNA sequencing studies and polymerase chain reaction (PCR) assays to discover the offending organism, and ultrasound studies may point to the necessity for wound drainage. |
Source: Medical Disability Advisor