Understanding overgranulation in tissue viability practice

Br J Community Nurs. 2007 Sep;12(9):S24-30. doi: 10.12968/bjcn.2007.12.Sup4.43000.


Overgranulation is a difficult condition to deal with and is thought to be due to possible infection or to use of occlusive dressings. The overgranulating tissue can be soft and oedematous with a shiny appearance. The fastest route to treatment (steroids or silver nitrate) may be aggressive and should be used sparingly (if at all). This article provides an outline of the process or tissue overgranulation in wounds and its appropriate clinical management.

Publication types

  • Review

MeSH terms

  • Administration, Cutaneous
  • Anti-Infective Agents, Local / therapeutic use
  • Anti-Inflammatory Agents / therapeutic use
  • Community Health Nursing
  • Granulation Tissue / physiopathology*
  • Humans
  • Hydrocortisone / therapeutic use
  • Infection Control
  • Inflammation
  • Occlusive Dressings / adverse effects
  • Risk Factors
  • Silver Nitrate / therapeutic use
  • Skin Care / methods*
  • Skin Care / nursing
  • Wound Healing
  • Wound Infection / complications*
  • Wound Infection / pathology


  • Anti-Infective Agents, Local
  • Anti-Inflammatory Agents
  • Silver Nitrate
  • Hydrocortisone