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A cloudy or purulent fluid may drain from the wound, indicating infection. Fever is another common symptom, which may accompany other signs such as increased warmth, swelling, or delayed healing at the surgical site. Additional symptoms may also occur, depending on the nature and extent of the infection. [4]
The wound usually appears red and can be accompanied by drainage. Clinicians delay re-opening the wound unless it is necessary due to the potential of other complications. If the surgical wound worsens, or if a rupture of the digestive system is suspected the decision may be to investigate the source of the drainage or infection. [2] [3]
[4] Complicated SSSIs included "infections either involving deeper soft tissue or requiring significant surgical intervention, such as infected ulcers, burns, and major abscesses or a significant underlying disease state that complicates the response to treatment."
The Major Diagnostic Categories (MDC) are formed by dividing all possible principal diagnoses (from ICD-9-CM) into 25 mutually exclusive diagnosis areas. MDC codes, like diagnosis-related group (DRG) codes, are primarily a claims and administrative data element unique to the United States medical care reimbursement system. DRG codes also are ...
More information is needed to determine the effectiveness of specific antibiotics therapy in surgical site infections (SSIs). [4] Examples of soft-tissue infections from MRSA include ulcers, impetigo, abscesses, and SSIs. [89] In surgical wounds, evidence is weak (high risk of bias) that linezolid may be better than vancomycin to eradicate MRSA ...
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]
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Severe infections typically require IV antibiotics that cover more pathogens, such as gram positive organisms, gram negative organisms, and obligate anaerobes to allow for better treatment outcomes. [4] Total antibiotic treatment of severe infections should be approximately 2–3 weeks or more, depending on how extensive the infection is. [5]