2017: Surgical Perspective: Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection 2017. Donald E. Fry Surgical Infections. 25. SHEA, IDSA, AHA, APIC, and The Joint Commission: Strategies to Prevent Surgical Site Infections in Acute Care Hospitals: 2014 Update Other surgical site infections are more serious and can involve tissues under the skin, organs, or implanted material. wound dehiscence and surgical site infections (SSIs), is the most common major complication related to surgical wound management, and monitoring for conditions related to this failure is crucial during the immediate (three- to four-week) post-operative period.1 Surgical site infections (SSIs) are the second most common healthcare-associated infection (HAI). 24. The majority of the literature that was reviewed and the data that was collected involved hip and knee arthroplasty. Postpartum surgical site infection (SSI), wound infection and endometritis is a major cause of prolonged hospital stay and poses a burden to the health care system. Data from the National Nosocomial Infection Surveillance System (NNIS) show an average incidence of SSI of 2.6%, accounting for 38% of nosocomial infections in surgical patients [78]. May 2017, 18(4): 383-384. Citation. Doctors call these infections surgical site infections (SSIs) because they occur on the part of the body where the surgery took place. Resulting SSIs are known to have significant patient complications with adverse clinical and economic impact. Selwyn O. Rogers Jr Surgical Infections. 2017 The CDC estimates that 50% of all SSIs are preventable. Superficial surgical site infection – Occurs within 30 days of the operation; involves only the skin and subcutaneous tissues of the incision and has at least one sign or symptom of a surgical site infection (See page 3). Wound infections, or surgical site infections (SSIs) are the most common adverse event affecting hospitalized surgical patients [77]. Cesarean delivery (CD) is one of the most common procedures performed in the United States, accounting for 32% of all deliveries. Surgical site infections can sometimes be superficial infections involving the skin only. Management of Incisional surgical site infection • Removal of sutures with drainage of pus • Debridement and open wound care • delayed primary or secondary suture • 15% of postoperative wounds are treated with antibiotics -> inappropriate -> resistance • Wound bed preparation. Prevention of Infection at the Surgical Site. 11 Surgical site infection prevention is the responsibility of both the patient and the health care providers. May 2017, 18(4): 377-378. Surgical Site Infections (SSIs) occur in approximately 1% of orthopedic patients. Deep surgical site infection – Occurs within 30 days of the operation if no implant is in place or within 1 year fi an If you have surgery, the chances of developing an SSI are about 1% to 3%. The guidelines were created after an extensive literature search though EMBASE, PubMed and Cochrane Central Register of Controlled Trials from 1966 through March 2017. For the patient, smoking cessation, blood glucose control, and weight loss are important SSI prevention measures. The CDC and the National Nosocomial Infection System have established criteria for defining SSIs that are widely used by SSI-surveillance and perioperative personnel.2 An SSI is an infection related to an operative procedure that occurs at https://www.who.int/infection-prevention/publications/ssi-guidelines/en Citation. Even with many precautions and protocols to prevent infection in place, any surgery that causes a break in the skin can lead to an infection. 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