Surgical_Site_Infection_(SSI)

Surgical_Site_Infection_(SSI) - InfectioninSurgicalPatients...

Info iconThis preview shows pages 1–22. Sign up to view the full content.

View Full Document Right Arrow Icon
    Infection in Surgical Patients August, 2006 Mike Joutovsky, PGY3 Department of Surgery St. Barnabas Hospital
Background image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Background image of page 2
Background image of page 3

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Background image of page 4
Background image of page 5

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Background image of page 6
Defense Barriers Physical Chemical Immunologic
Background image of page 7

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Host defense Barrier Microbial flora Humoral Cellular cytokine
Background image of page 8
Microbial flora
Background image of page 9

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Humoral defenses Immunoglobulin Complement
Background image of page 10
Immunoglobulin All Ig classes (IgM, G, A, E, D and igG  subclasses are composed of one type  (M,G,A,E,D) of heavy (H) and one type of  light (L) protein. Each L chain is linked to an H chain, and H  chains are interlinked. H chain activate complement or bind to  receptors of either macrophages or PMN  leucocytes The amino terminus of the H and L chains  together forms antigen-binding site
Background image of page 11

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Immunoglobulin
Background image of page 12
Complement system Series of serum proteins that may  became activated via either classic or  alternative pathway
Background image of page 13

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Background image of page 14
Cellular defense Macrophage PMN leucocytes cytokines
Background image of page 15

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Surgical Site Infection ( SSI )
Background image of page 16
Clinical criteria ( CDC ) A purulent exudate draining from the  surgical site A positive fluid culture obtained from a  surgical site that was closed primarily The surgeon’s diagnosis of infection A surgical site that requires reopening
Background image of page 17

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
FACTS One out of every 24 patients who have  inpatient surgery in the United States  has a postoperative SSI The cost of SSIs are substantial: an  increased total cost of more than 300% SSIs increase the post operative length  of hospital stay by 10-14 days
Background image of page 18
Definition SSI is a difficult term to define  accurately because it has a wide  spectrum of possible clinical features  “It’s hard to define, but I know it when I  see it.” SSI are classified into three categories,  depending of which anatomic areas are  affected 
Background image of page 19

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Background image of page 20
Definitions of SSI Superficial incisional SSI: Infection involves only skin and subcutaneous tissue of incision. Deep incisional SSI: Infection involves deep
Background image of page 21

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Image of page 22
This is the end of the preview. Sign up to access the rest of the document.

This note was uploaded on 12/27/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

Page1 / 40

Surgical_Site_Infection_(SSI) - InfectioninSurgicalPatients...

This preview shows document pages 1 - 22. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online