Surgical wound infection: epidemiology, pathogenesis, diagnosis and management
Robert H Rubin, Robert H Rubin
Abstract
Surgical wound infection remains a significant problem following an operation, although surveillance for such infections remains a challenge exacerbated by early discharge and outpatient surgery. The risk of such infections is determined by technical problems with the operation, particularly bleeding, the amount of devitalized tissue created, and the need for drains within the wound, as well as such metabolic factors as obesity and diabetes. Perioperative antibiotic prophylaxis can decrease the incidence of such infections further, but a technically perfect operation is even more important.
References
- Wangensteen OH, Smith J, Wangensteen SD. Some highlights in the history of amputation reflecting lessons in wound healing. Bull Hist Med. 1967;41:97–131.
- Lister J. On a new method of treating compound fractures. Lancet. 1867;1:326. doi: 10.1016/S0140-6736(02)51192-2.
- Howard RJ, Lee JT., Jr . Surgical wound infections: epidemiology, surveillance, and clinical management. In: Howard RJ, Simmons RL, editor. Surgical Infectious Diseases. 3. East Norwalk, CT: Allyn & Bacon; 1995. pp. 401–412.
- Petherick ES, Dalton JE, Moore PJ, Cullum N. Methods For Identifying Surgical Wound Infection After Discharge From Hospital: a systematic review. BMC Inf Dis. 2006;6:170. doi: 10.1186/1471-2334-6-170.
- Garner JS, Jarvis WR, Emori TG, Horan TC, Hughes JM. CDC definitions of nosocomial infections. Am J Infect Control. 1988;16:128–140. doi: 10.1016/0196-6553(88)90053-3.
- Horan TC, Gaynes RP, Martone WJ, Jarvis WR, Emori TG. CDC definitions of nosocomial surgical site infections, 1992: a modification of CDC definitions of surgical wound infections. Infect Control Hosp Epidemiol. 1992;13:606–608.
Source: PubMed