OF SURGICAL WOUND INFECTIONS
wound infections constitute a major fraction of nosocomial infections and occur
within 30 days of procedure or within one year if implant is in place. Surgical
wound infections have been classified based on wound location and degree of
microbial contamination. Causative agents of surgical wound infections and the
routes by which they access surgical incision sites have been recognized. The
risk factors of surgical wound infections; patient characteristics and
operative characteristics and management of these factors have been identified.
Despite knowledge of the factors that influence surgical wound infections and
means to prevent and/or control them, surgical patients still get infections.
Diagnosis and treatment of surgical wound infections are appropriately
undertaken to reduce economic costs and morbidity rate. Different surveillance
methods have been adopted to reduce surgical wound infections rate.
the mid-19th century, surgical patients commonly developed
postoperative “irritative fever” followed by purulent discharge from their
incision, overwhelming sepsis and often death. It was not until the late 1860s,
after Joseph Lister introduced the principles of antisepsis that postoperative
infection morbidity decreased substantially.
Among surgical patients, surgical wound infections are the
most common nosocomial infections. Surgical wound infections occur within 30
days of procedure or within one year if implant is in place and has been
classified into three according to wound location and into four according to
degree of microbial contamination. Risk factors and management techniques have
been identified. The pathogens isolated from surgical wound infections differ
depending on the underlying problem, location and type of surgical procedure.
Surgical wound infections should be diagnosed and treated
appropriately, to return patients home early and reduce morbidity. Surveillance
of surgical wound infections with appropriate feedback would be desirable to
reduce surgical wound infections rate.