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Surgical site

infection
Prepared by Nigussie
IESO
Content
• Introduction
• Definition
• Presentation
• Risk factors
• Types
• Treatment
Introduction
• World wide SSI is around 15-20 %
• In Ethiopia it is 6.4-70%
• 3% mortality rate
• Increase healthcare cost
Definition

• Infection related to or complicating a surgical therapy.

• Generally occur within 30 postoperative days

• Early surgical site infection within 24h


consider streptococcus and clostridial
presentation
Local sign and symptom
• Redness
• Pain
• Swelling
• Tenderness
• purulent discharge
• Incision opened by a surgeon
Cont…
Systemic sign and symptom
• Fever
• Non specific symptom like chill ,riggor ,joint pain
• Elevated blood count (high wbc)
• SIRS
• MODS
Risk factors
• Patient, environment, treatment
• Surgical procedure, type duration, method or skill
• Age
• Immunity
• Malnutrition
• Smoking
• Chronic illness
types
• Superficial SSI
• Deep SSI
• Organ/space
Superficial
• Infection involving the epidermis, dermis and subcutaneous fat
Deep SSI

• Infection extending to the fascia and muscle


Organ/space

• Infection extending to deep organ and peritoneum


prevention
Treatment

• Antibiotics
• Surgical intervention
Referrance
• Baily and loves
• internet
• Thank you

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