SURGICAL SITE INFECTIONS
Dr Muchunu
, INTRODUCTION
Before the mid-19th century, surgical patients commonly
developed postoperative “irritative fever,” followed by
purulent drainage from their incisions, overwhelming sepsis,
and often death. It was not until the late 1860s, after Joseph
Lister introduced the principles of antisepsis, that
postoperative infectious morbidity decreased substantially.
Lister’s work radically changed surgery from an activity
associated with infection and death to a discipline that could
eliminate suffering and prolong life.
,• SSIs are the third nosocomial infection, accounting for
14% to 16% of all nosocomial infections among
hospitalized patient.
• Among surgical patients, SSIs is the most common
nosocomial infection, accounting for 38% of all such
infections. two thirds confined to the incision, one third
involved organs or spaces accessed during the operation.
• when surgical patients with nosocomial ssi died, 77% of
the deaths related to infection;(93%) serious infections
, • Advances in infection control practices include: (improved
operating room ventilation, sterilization methods, barriers,
surgical technique, and availability of antimicrobial
prophylaxis)Despite these activities, SSIs remain a substantial
cause of morbidity and mortality among hospitalized patients;
may be explained by: emergence of antimicrobial-resistant
pathogens. increased numbers of surgical patients who are
elderly and/or have a wide variety of chronic, debilitating, or
immunocompromising underlying diseases. increased
numbers of prosthetic implant and organ transplant operations
performed.
Dr Muchunu
, INTRODUCTION
Before the mid-19th century, surgical patients commonly
developed postoperative “irritative fever,” followed by
purulent drainage from their incisions, overwhelming sepsis,
and often death. It was not until the late 1860s, after Joseph
Lister introduced the principles of antisepsis, that
postoperative infectious morbidity decreased substantially.
Lister’s work radically changed surgery from an activity
associated with infection and death to a discipline that could
eliminate suffering and prolong life.
,• SSIs are the third nosocomial infection, accounting for
14% to 16% of all nosocomial infections among
hospitalized patient.
• Among surgical patients, SSIs is the most common
nosocomial infection, accounting for 38% of all such
infections. two thirds confined to the incision, one third
involved organs or spaces accessed during the operation.
• when surgical patients with nosocomial ssi died, 77% of
the deaths related to infection;(93%) serious infections
, • Advances in infection control practices include: (improved
operating room ventilation, sterilization methods, barriers,
surgical technique, and availability of antimicrobial
prophylaxis)Despite these activities, SSIs remain a substantial
cause of morbidity and mortality among hospitalized patients;
may be explained by: emergence of antimicrobial-resistant
pathogens. increased numbers of surgical patients who are
elderly and/or have a wide variety of chronic, debilitating, or
immunocompromising underlying diseases. increased
numbers of prosthetic implant and organ transplant operations
performed.
