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Surgical Site Infections: An Update
Bronwen H Garner1, Deverick J Anderson1
1Division of Infectious Diseases, Duke University Medical Center, Durham, NC, USA.
Infectious Disease Clinics of North America
|November 7, 2016
Summary
Surgical site infections (SSIs) are a serious risk but can be reduced. Adhering to preventative measures like antimicrobial prophylaxis and prompt treatment with debridement and antibiotics significantly lowers SSI rates.
Area of Science:
- Infectious Diseases
- Surgical Patient Care
- Antimicrobial Stewardship
Background:
- Surgical site infections (SSIs) are a significant cause of patient morbidity and mortality.
- Wound contamination is an inherent risk during surgical procedures.
- Effective strategies are crucial for mitigating SSI development and impact.
Purpose of the Study:
- To highlight the critical role of evidence-based preventative measures in reducing SSI rates.
- To emphasize the importance of antimicrobial prophylaxis adherence.
- To outline optimal treatment strategies for established SSIs.
Main Methods:
- Review of evidence-based strategies for SSI prevention.
- Analysis of the impact of antimicrobial prophylaxis adherence.
- Discussion of therapeutic approaches including surgical debridement and antimicrobial therapy.
Main Results:
- Improved adherence to antimicrobial prophylaxis guidelines demonstrably decreases SSI incidence.
- Appropriate and timely antimicrobial therapy is essential for managing SSIs.
- Surgical debridement plays a key role in controlling infection at the surgical site.
Conclusions:
- Implementing evidence-based preventative measures, particularly antimicrobial prophylaxis, is vital for reducing SSIs.
- Effective management of SSIs requires a combination of aggressive surgical debridement and appropriate antimicrobial treatment.
- Optimizing patient outcomes necessitates a focus on both SSI prevention and treatment.
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