SSI

Surgical Site Infection

Definition
• A surgical site infection (SSI) is an infection that occurs after
surgery in the part of the body where the surgery took
place. Surgical site infections can sometimes be superficial
infections involving the skin only.
Infections
• Community Acquired - diagnosed within 48 hours of admission
without any previous healthcare encounter.

• Hospital Acquired - infection whose development is favoured by a

hospital environment, such as one acquired by a patient during a
hospital visit
Guideline
• CDC- Centers for Disease Control
• NCBI
Symptoms
• Signs of Inflammation (5)
I. Redness
II. Swelling
III. Heat
IV. Pain
V. Functional Loss
Differential Diagnosis
• Erythema
• Pain
• Unexplained Persistent Pyrexia
• Wound Discharge (Fluid Discharge)
• Wound re-opening (after stitch opening)
• Wound healing delayed
Risk Factor
• Diabetic Patient
• Old Aged
• Immunocompromised
• Aseptic Technique
• Faulty Implant (Trustworthy Brand)
Prevention
CDC & NCBI Guideline

• Bath (antiseptic)
• Planned cases
• Pre-op Preparation (PAC to be followed)
• RBS – 200 mg/dl to be lower
• Temperature to be normal
• Safe Surgery Practices
- Identify Patient
- Site Marking
- Vitals to be normal
- Clean OT dress
- Part preparation (CDC Guideline – no razor only clipper or removal cream)
- Antibiotic Prophylaxis (WHO guideline)
Antibiotic Prophylaxis
WHO Guideline

List of Antibiotics

PAC Order to be checked by Nurse

 Vitals – RBS – Psychological Status – Respiratory Assessment
 Documentation
 Fio2 (Friction of inspired Oxygen)

Intubation

As per CDC
OT
Disinfection
- Deep mopping (1 % sodium hypo.)
- Fumigation
- OT dress
- OT Zoning
- Autoclave Instrument
- Proper aseptic technique
- Post op care….. Dressing
Follow-up
Surgery
- Minor… 1 month
- Major… 3 months
- Implant.. 1 Year
Follow-up ????
1. Condition through telephone or visit
If SSI – Post op SSI form to be filled

Air culture/ Swab culture after OT disinfection

Thank You