The evaluation of wound infection after arterial surgery

Many of the wound infections that occur after arterial surgery require prolonged attention with frequent changes of dressings. However, the traditional way of reporting wound infections is to only declare the overall incidence of this adverse event. In this study, we have evaluated 302 patients undergoing arterial surgery to determine the relationship between the incidence of wound infection, the length of time that wounds were dressed, and the results of a modified ASEPSIS wound scoring system. The overall incidence of wound infection was 14% (43/302). It was noted that patients with high wound scores had a correspondingly high incidence of conventionally defined wound infections; and, in addition, such patients required dressing changes over prolonged periods. It is concluded that the documentation of both the duration of wound dressings and a wound scoring system are useful tools when evaluating the outcome of patients after arterial surgery.