Interventions in infected venous leg ulceration in clinical practice

Abstract

Annemarie Brown explores the vital role practice nurses play in caring for patients with infected venous leg ulcers. In particular, recognising signs and symptoms, management, and the threat of antimicrobial resistance will be discussed This article aims to inform practice nurses of the management of infection in venous leg ulcers which they may encounter in clinical practice. It outlines the infection continuum, how to recognise the signs and symptoms of an increasing bacterial burden and how this can be effectively managed to prevent the patient developing a systemic infection. In view of Government policies to reduce the inappropriate use of systemic antibiotics, guidance on using topical antiseptics and antimicrobials is discussed, together with information on the various products available. The signs of sepsis are discussed to ensure that readers are familiar with this life-threatening condition.