Wound Excision

Antibiotics
No S/SX Infection S/SX Infection
Secondary intent if
DPC 4-7 days after Redebridement later than 7 days post
injury injury
DPC if done within 7 days of injury

DPC performed At DPC, the wound is infected

but closure
becomes Redebride prn/pulse irrigation Antibiotics
infected

Infrequent dressing change (Q 4-5

days) (secondary intent)
In the OR
remove sutures, Signs/Symptoms of infection Continue infrequent
redebride prn, Yes No dressings

Antibiotics Daily sugar or honey dressings Continue sugar or honey

Not effective Effective dressings or convert to
infrequent dressings
Redebride prn/pulse irrigation