RT Book, Section
A1 Doherty, Gerard M.
SR Print(0)
ID 58102134
T1 Surgical Site Infections
T2 Quick Answers Surgery
YR 2010
FD 2010
PB The McGraw-Hill Companies
PP New York, NY
SN 
LK accesssurgery.mhmedical.com/content.aspx?aid=58102134
RD 2024/04/24
AB •  Postoperative  wound  infections  resulting  from  bacterial  contamination  during  or  after  a  surgical  procedure•  Infection  usually  is  confined  to  the  subcutaneous  tissues•  Site  infections  are  more  likely  if:-Excessive  tissue  trauma-Undrained  hamartomas-Retained  foreign  bodies-Excessively  tight  ligatures-Allowing  wound  to  become  desiccated-Contaminated-Poor  perfusion-Poor  oxygenation-Dead  space•  Degree  of  intraoperative  contamination  can  be  divided  into  4  categories  which  correlate  with  risk  of  postoperative  wound  infection1.  Clean:  No  gross  contamination  from  exogenous  or  endogenous  sources2.  Clean-contaminated:  For  example,  with  gastric  or  biliary  surgery3.  Heavily  contaminated:  Operations  on  the  unprepared  colon  or  emergency  operations  for  intestinal  bleeding  or  perforation4.  Infected•  Classification  of  surgical  site  infection:-Incisional:  Superficial  (skin  and  subcutaneous  tissues)  and  deep  incisional  (deep  soft  tissue  of  the  incision)-Organ/space  infection:  Any  part  of  the  anatomy  other  than  body  wall•  Wound  infections  usually  appear  between  the  fifth  and  tenth  postoperative  days,  but  they  may  appear  as  early  as  the  first  postoperative  day