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G. Nakagami, S. Yoshida, M. Matsumoto, Y. Koyano, Y. Yamamoto, J. Sugama, H. Sanada
Journal of Wound Care, Vol. 22, Iss. 5, 08 May 2013, pp 278 - 281

Pressure ulcer infection should be prevented and controlled to avoid further, lethal complications, such as expanding cellulitis, osteomyelitis, bacteraemia and sepsis.1 It is important to reduce the number of bacteria present on the pressure ulcer surface by wound cleansing, as these bacteria invade the pressure ulcer from the ulcer surface to the deep tissue. Controversy exists regarding the clinical definition of bacterial count on the pressure ulcer site, as chronic wounds cannot be sterile, due to heavy contamination from the external environment, such as urine or faeces.2

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