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
2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Jan H. Koetje ◽  
Karsten D. Ottink ◽  
Iris Feenstra ◽  
Wilbert M. Fritschy

Objectives. Groin wounds following vascular surgery are highly susceptible to healing disturbances, with reported site infections reaching 30%. Negative pressure incision management systems (NPIMS) are believed to positively influence the prevention of surgical wound-healing disturbances (WHD) and surgical site infections (SSI). NPIMS placed directly after closure of the surgical wound is thought to result in fewer infections; we analysed its effect on postoperative wound infections in patients after vascular surgery via the groin.Methods. From May 2012 to March 2013 we included 90 surgical patients; 40 received a NPIMS. All patients with WHDs were labelled and subanalysed for surgical site infection in case of positive microbiological culture. These infections were graded according to Szilagyi. Number of WHDs and SSIs were compared across cohorts.Results. Patient and perioperative characteristics were equal, except for a significantly higher number of emergency procedures among non-NPIMS patients. We found no significant differences in number of WHDs, SSIs, or Szilagyi grades between the two cohorts.Conclusion. The equal number of SSIs across cohorts showed that NPIMS could not reduce the number of surgical site infections after vascular groin surgery.


1992 ◽  
Vol 13 (10) ◽  
pp. 606-608 ◽  
Author(s):  
Teresa C. Horan ◽  
Robert P. Gaynes ◽  
William J. Martone ◽  
William R. Jarvis ◽  
T. Grace Emori

1999 ◽  
Vol 20 (4) ◽  
pp. 247-280 ◽  
Author(s):  
Alicia J. Mangram ◽  
Teresa C. Horan ◽  
Michele L. Pearson ◽  
Leah Christine Silver ◽  
William R. Jarvis ◽  
...  

The “Guideline for Prevention of Surgical Site Infection, 1999” presents the Centers for Disease Control and Prevention (CDC)'s recommendations for the prevention of surgical site infections (SSIs), formerly called surgical wound infections. This two-part guideline updates and replaces previous guidelines.Part I, “Surgical Site Infection: An Overview,” describes the epidemiology, definitions, microbiology, pathogenesis, and surveillance of SSIs. Included is a detailed discussion of the pre-, intra-, and postoperative issues relevant to SSI genesis.


1992 ◽  
Vol 13 (10) ◽  
pp. 606-608 ◽  
Author(s):  
Teresa C. Horan ◽  
Robert P. Gaynes ◽  
William J. Martone ◽  
William R. Jarvis ◽  
T. Grace Emori

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).


PEDIATRICS ◽  
1978 ◽  
Vol 61 (2) ◽  
pp. 235-237
Author(s):  
Donald A. Goldmann ◽  
Sylvia J. Breton

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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