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Disrupts bacteria on and within the gel, helping to provide a bacteria-free wound dressing.

Richard White Ph D Senior Research Fellow, Tissue Viability Grampian NHS Trust, Aberdeen, Scotland, UK. Cutting MN, RN, Dip N, Cert Ed Principal Lecturer Buckinghamshire Chilterns University College, Chalfont St Giles, Buckinghamshire, UK.

It presents as serous fluid in the wound bed and is part of normal wound healing in acute wounds.

However, when the wound becomes ‘chronic’ and non-healing with persistent, abnormal inflammation or when infection becomes established, exudate takes on a different guise and generates clinical challenges.

The fluid is composed of serum, fibrin, and white blood cells.

Rivalta test may be used to differentiate an exudate from a transudate.

It is not clear if there is a distinction in the difference of transudates and exudates in plants.

It impacts on health economics because failure to control exudate production will lead to increased management costs and patient morbidity.

This review considers exudate from the perspectives of its nature, composition, assessment and the range of management strategies available.

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