2003
DOI: 10.12968/bjcn.2003.8.sup3.11577
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Wound exudate: composition and functions

Abstract: Wound exudate is all too often perceived as a clinical management problem. While this can be the case, it should be recognized that exudate does fulfil an important function in the healing process. Gradual acceptance of the benefits of moist wound healing, combined with the current goals of the ‘ideal’ moist environment, focuses attention on the role of exudate. This review is intended to define the components and functions of ‘normal’ exudate and differentiate it from abnormal exudate.

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Cited by 213 publications
(180 citation statements)
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“…Chronic wound fluid is comprised of cytokines, chemokines, growth factors, electrolytes and proteolytic enzymes [30,31,32]. Proteolytic enzymes, in particular matrix metalloproteases (MMP) and serine protease human neutrophil elastase (HNE), are responsible for proteolytic degradation of growth factors [19] and extracellular matrix (ECM) proteins.…”
Section: Introductionmentioning
confidence: 99%
“…Chronic wound fluid is comprised of cytokines, chemokines, growth factors, electrolytes and proteolytic enzymes [30,31,32]. Proteolytic enzymes, in particular matrix metalloproteases (MMP) and serine protease human neutrophil elastase (HNE), are responsible for proteolytic degradation of growth factors [19] and extracellular matrix (ECM) proteins.…”
Section: Introductionmentioning
confidence: 99%
“…Within a wound, slough (largely composed of denatured proteins 37 ), necrotic tissue, and even nonbiological components such as fibers from a dressing, are all surfaces. In the mucus or sputum of cystic fibrosis patients biofilms are referred to as microbial aggregates and are dispersed within the mucus itself.…”
Section: Identification Of a Biofilmmentioning
confidence: 99%
“…A moist wound environment is mainly sustained by exudate. The exudate mostly consists of water, but it also contains electrolytes, nutrients, proteins, inflammatory mediators, proteases such as matrix metalloproteinases (MMPs), growth factors and waste products, as well as white blood cells such as neutrophils, macrophages and platelets [40,42,43]. The wound exudate is produced by vasodilation during the early inflammatory stage of healing under the influence of elevated levels of inflammatory mediators and activators such as histamine and bradykinin [13,[44][45][46].…”
Section: Absorbent Wound Dressingsmentioning
confidence: 99%