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An infection is designated as an SSI if it develops at the site of a surgical wound, either because of contamination during surgery or as a result of postoperative complications. For the infection to be classified as an SSI, it should occur within 30 days after surgery or within 1 year if an implant is involved.
Of operative risk factors, surgical site is the most important predictor of risk for PPCs (aortic, thoracic, and upper abdominal surgeries being the highest-risk procedures, even in healthy patients. [16] The value of preoperative testing, such as spirometry, to estimate pulmonary risk is of controversial value and is debated in medical literature.
Skin damage from incision as well as very young or old age can increase a patient's risk of infection. Examples of risk factors includes decreased immune system secondary to disease, compromised circulation secondary to peripheral vascular disease, compromised skin integrity secondary to surgery, or repeated contact with contagious agents.
The risk of complications after surgery can be reduced by: maintaining blood glucose levels in the normal range and constant evaluation of surgical site infection. [ 2 ] [ 26 ] There is insufficient evidence to show that whether applying cyanoacrylate microbial sealants on the wound site before operation is effective in reducing surgical site ...
The World Health Organization (WHO) published the WHO Surgical Safety Checklist in 2008 in order to increase the safety of patients undergoing surgery. [1] The checklist serves to remind the surgical team of important items to be performed before and after the surgical procedure in order to reduce adverse events such as surgical site infections or retained instruments. [1]
The Surgical Care Improvement Project (SCIP) partnership is an American multi-year national campaign to substantially reduce surgical mortality and morbidity through collaborative efforts between healthcare organizations. The campaign began in August 2005 with the original goal of reducing the national incidence of surgical complications by 25% ...
The wound can be allowed to close by secondary intention. Alternatively, if the infection is cleared and healthy granulation tissue is evident at the base of the wound, the edges of the incision may be reapproximated, such as by using butterfly stitches, staples or sutures. [4]
Surgical factors that may lead to an increased risk of PJIs include wound dehiscence (unplanned opening of the surgical wound after the surgery) and hematoma (collection of blood) formation. [ 1 ] The presence of multiple artificial joints, MRSA PJIs, rheumatoid arthritis or bacteremia place people at risk for multiple PJIs (either concurrent ...