CDC Definitions of Nosocomial Surgical Site Infections, 1992: A Modification of CDC Definitions of Surgical Wound Infections

1992 ◽  
Vol 13 (10) ◽  
pp. 606-608 ◽  
Author(s):  
Teresa C. Horan ◽  
Robert P. Gaynes ◽  
William J. Martone ◽  
William R. Jarvis ◽  
T. Grace Emori
Keyword(s):  
Wound Infection ◽  
Nosocomial Infections ◽  
Task Force ◽  
Surgical Site Infections ◽  
Surgical Wound Infection ◽  
Wound Infections ◽  
Surgical Wound ◽  
Hospital Epidemiology ◽  
Surgical Infection ◽  
Definition Of

In 1988, the Centers for Disease Control (CDC) published definitions of nosocomial infections However, because of journalistic style and space constraints, these definitions lacked some of the detail provided to National Nosocomial Infections Surveillance (NNIS) System hospitals in the NNIS Manual (unpublished). After the NNIS System hospitals had had considerable experience with the definitions and in response to a request for review by The Surgical Wound Infection Task Force, a group composed of members of The Society for Hospital Epidemiology of America, the Association for Practitioners in Infection Control, the Surgical Infection Society, and the CDC, we slightly modified the definition of surgical wound infection and changed the name to surgical site infection (SSI).

scholarly journals Trichophytonas a Rare Cause of Postoperative Wound Infection Resistant to Standard Empiric Antimicrobial Therapy

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Sheema Gaffar ◽  
John K. Birknes ◽  
Kenji M. Cunnion
Keyword(s):  
Wound Infection ◽  
Tinea Capitis ◽  
Chronic Wound ◽  
Fungal Infections ◽  
Surgical Wound Infection ◽  
Postoperative Wound Infection ◽  
Wound Infections ◽  
Surgical Wound ◽  
Trichophyton Tonsurans ◽  
Chronic Wound Infections

Fungal infections are rare causes of acute surgical wound infections, butCandidais not an infrequent etiology in chronic wound infections.Trichophytonspecies is a common cause of tinea capitis but has not been reported as a cause of neurosurgical wound infection. We report a case ofTrichophyton tonsuranscausing a nonhealing surgical wound infection in a 14-year-old male after hemicraniectomy. His wound infection was notable for production of purulent exudate from the wound and lack of clinical improvement despite empiric treatment with multiple broad-spectrum antibiotics targeting typical bacterial causes of wound infection. Multiple wound cultures consistently grewTrichophytonfungus, and his wound infection clinically improved rapidly after starting terbinafine and discontinuing antibiotics.

Surgical wound infections after peripheral vascular surgery

2014 ◽  
Vol 103 (4) ◽  
pp. 226-231 ◽  
Author(s):  
J. Turtiainen ◽  
T. Hakala
Keyword(s):  
Vascular Surgery ◽  
Wound Infection ◽  
Major Amputation ◽  
Review Article ◽  
Surgical Wound Infection ◽  
Wound Infections ◽  
Peripheral Vascular ◽  
Surgical Wound ◽  
Related Factors ◽  
Peripheral Vascular Surgery

Surgical wound infection is one of the most common complications after peripheral vascular surgery. It increases the affected patient’s risk for major amputation as well as mortality. Furthermore, surgical wound infection is an additional cost. Wound infections after vascular surgery are of multifactorial nature and generally result from the interplay of patient- and procedure-related factors. The use of systemic antibiotic prophylaxis may be the most important method in preventing surgical wound infections. In this review article, we report the current literature of surgical wound infections after peripheral vascular surgery.

The Impact of Postdischarge Infection on Surgical Wound Infection Rates

1987 ◽  
Vol 8 (6) ◽  
pp. 237-240 ◽  
Author(s):  
K. Reimer ◽  
C. Gleed ◽  
L.E. Nicolle
Keyword(s):  
Wound Infection ◽  
Infection Rate ◽  
Day Surgery ◽  
Wound Infection Rate ◽  
Surgical Wound Infection ◽  
Surveillance Program ◽  
Surgical Wound ◽  
Infection Rates ◽  
Surgical Infection ◽  
The Impact

AbstractWe undertook a study of postdischarge infections to assess the reliability of a surgical wound surveillance program in a 930-bed teaching hospital. During a six-month period, a subset of operations performed each day was randomly selected and patients interviewed by telephone one month postsurgery using a standard set of questions. The infection rate for all patients contacted directly postdischarge was 5.4%, whereas the surgical wound infection rate determined for all procedures through the standard hospital program was 1.5%. For day-surgery patients, who are not routinely followed in the hospital surveillance program, 8 (7.8%) of 103 patients contacted had infection. Thus, the overall surgical infection rate determined in this study was over three times higher than that calculated using standard surveillance. A reliable method for identifying postdischarge wound infections is necessary to ensure accurate surgical wound infection rates.

Outbreak of Surgical Wound Infections Associated With Total Hip Arthroplasty

1992 ◽  
Vol 13 (9) ◽  
pp. 526-534 ◽  
Author(s):  
Consuelo M. Beck-Sague ◽  
Wang H. Chong ◽  
Connie Roy ◽  
Roger Anderson ◽  
William R Jarvis
Keyword(s):  
Risk Factors ◽  
Total Hip Arthroplasty ◽  
Wound Infection ◽  
Hip Arthroplasty ◽  
Posterior Approach ◽  
Surgical Wound Infection ◽  
Wound Infections ◽  
Surgical Wound ◽  
Total Hip ◽  
Drop Plate

AbstractObjectives:Describe an outbreak of surgical wound infections associated with total hip arthroplasty; identify risk factors for surgical wound infection during the pre-outbreak and outbreak periods.Setting:A 100-bed hospital. From May 1 to September 30, 1988, 7 of 15 patients who underwent total hip arthroplasty developed surgical wound infections from Staphylococcus aureus (5), Enterobacter cloacae (1), b-hemolytic streptococci (1), enterococci (1), coagulase-negative staphylococci (1), and Escherichia coli (1) (attack rate = 46.7%).Design:Retrospective cohort studies comparing surgical wound infection rates by patient-and procedure-related risk factors during the pre-outbreak and outbreak periods were conducted. Drop plate quantitative air culturing was conducted in 10 consecutive total hip artbroplasties in the subsequent 6 months.Results:Rates of surgical wound infection were significantly higher for arthroplasties in which no intraoperative prophylactic antimicrobials were given (44% versus 8%, relative risk [RR] = 5.4, p= .01), or in which the posterior approach (20% versus 3%, RR= 6.7, p = .04) or a specific prosthesis (39% versus 5%, RR=6.3, p = 0.01) was used. The surgical wound infection rate was highest when one circulating nurse, Nurse A, assisted (47% versus 4%, RR= 12.8, p<.001). Logistic regression analysis identified use of the posterior approach (RR= 1.8, p= .04) and Nurse A's participation (RR= 5.0, p <.001) as independent risk factors for surgical wound infection. Interviews of the nursing supervisor indicated that Nurse A had recurrent dermatitis on her bands. During 6 months following Nurse A's reassignment, the rate declined significantly (from 7/15 to 0/10, p=.01). Drop plate culturing yielded 2 to 10 colonies per plate of organisms that did not match outbreak organisms.Conclusions:Outbreaks associated with personnel generally involve only 1 species. In this outbreak, Nurse A (possibly because of her dermatitis), technique, the posterior approach, and/or other undetermined factors were the primary predictors of surgical wound infection.

scholarly journals Prevalence of Wound Infection in Patients Undergoing Elective or Emergency Abdominal Surgery

2021 ◽  
Vol 15 (7) ◽  
pp. 1697-1699
Author(s):  
Arshid Mahmood ◽  
Aqeel Ahmad ◽  
Muhammad Hammad Muzaffar ◽  
Sarfraz Ahmad
Keyword(s):  
Wound Infection ◽  
Elective Surgery ◽  
Surgical Wound Infection ◽  
Emergency Laparotomy ◽  
Surgical Wound ◽  
Surgical Infection ◽  
Significant Difference ◽  
Group A ◽  
Group B ◽  
Intra Abdominal Infection

Objective: To compare the surgical wound infection in patients undergoing elective or emergency abdominal surgeries. Study Design: Comparative study Place & Duration of Study: Study was conducted at surgery department of Divisional Headquarter Teaching hospital Mirpur Azad Kashmir for eighteen months duration from June 2019 to November 2020. Materials and Methods: 150 patients of both genders with ages 15 to 65 years who received laparotomy treatment due to intra-abdominal infection or complicated appendicitis were included in this study. Patient’s medical history, age, sex and residency were recorded after taking informed consent. All the patients were divided into two groups, Group A contained 75 patients (Elective) and Group B contains 75 patients (emergency) received laparotomy. Deep surgical wound infection was examined at the 7th day after surgery and compared between both groups. Results: Ninety eight (65.3%) patients 49 in each group were males and 52 (34.7%) patients 26 in each group were females. In Group A and B 27 and 29 patients were ages 15 to 30 years, 33 and 31 patients had ages 36 to 45 years, 15 and 15 patients were ages between 46 to 60 years. 10 (13.3%) patients in Group A and 12 (16%) patients in group B had deep surgical infection within 1 week after surgery. Statistically there is no significant difference between the both groups (p>0.356) Conclusion: It is concluded that the frequency of wound infection was high in emergency abdominal surgeries as compared to patients undergoing elective surgery, but the difference was not statistically significant. Keywords: Emergency laparotomy, Deep surgical site infection, PO Drain placement

scholarly journals Prophylactic activity of cephalosporins in a mouse model of surgical wound infection.

1983 ◽  
Vol 36 (2) ◽  
pp. 161-166
Author(s):  
SARAH F. GRAPPEL ◽  
LILLIAN PHILLIPS ◽  
HUGH B. LEWIS ◽  
D. GWYN MORGAN ◽  
PAUL ACTOR
Keyword(s):  
Mouse Model ◽  
Wound Infection ◽  
Surgical Wound Infection ◽  
Surgical Wound

Group C Streptococcal Surgical Wound Infections Transmitted by an Anorectal and Nasal Carrier

PEDIATRICS ◽  
1978 ◽  
Vol 61 (2) ◽  
pp. 235-237
Author(s):  
Donald A. Goldmann ◽  
Sylvia J. Breton
Keyword(s):  
Postoperative Infection ◽  
Wound Infections ◽  
Surgical Wound ◽  
Postoperative Wound ◽  
Nasal Carrier ◽  
Surgical Infection ◽  
Oral Penicillin ◽  
Perianal Dermatitis ◽  
Lancefield Group

Streptococcus equisimilis (Lancefield group C), an unusual cause of nosocomial surgical infection, was isolated from two orthopedic postoperative wound infections. Both operations had been performed by the same surgeon within a three-day period. Examination of the surgeon revealed perianal dermatitis from which S. equisimilis was isolated. The organism was also recovered from the surgeon's nose and rectum. The wound infections responded to treatment with penicillin derivatives. The surgeon was successfully treated with topical bacitracin and oral penicillin and vancomycin. This report documents the pathogenicity of the C Streptococcus in postoperative infection and suggests a possible nosocomial source of the organism.

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