Pressure injury management requires reliable identification of critical colonisation due to lack of infection signs. Our research group previously proposed the mRNAs
natriuretic peptide B
(
Nppb
),
integrin subunit beta 6
(
Itgb6
),
copine 4
(
Cpne4
),
echinoderm microtubule
‐
associated protein like 5
, and
intersectin 1
as candidate markers in pooled exudates of critically colonised wounds. However, it is unclear whether mRNAs or proteins of the candidate genes would be suitable as biomarkers in fresh exudate. Therefore, this study aimed to evaluate the validity of the mRNAs and proteins as fresh exudate markers for critical colonisation. Three wound models of normal healing, critical colonisation, and infection were created in rats. Fresh swab‐collected exudates were collected, and mRNA and protein expression levels were measured. In the fresh wound exudates, the detection frequency of
Itgb6
tended to decrease in the critically colonised and infected wounds (
P
= .067), and those of
Cpne4
and
Nppb
tended to be lower in the infected wounds than in the normal healing and critically colonised wounds (
P
= .006 and .067, respectively). In contrast, there was no difference in protein expression in the exudates. This study suggests that
Itgb6
mRNA in fresh exudates is a promising biomarker for critical colonisation.