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[Surgical site infections-Prevention and treatment strategies]

Rahel Strobel1, Martin Kreis2, Johannes Christian Lauscher2

  • 1Klinik für Allgemein- und Viszeralchirurgie, Campus Benjamin Franklin, Charité - Universitätsmedizin Berlin, Hindenburgdamm 30, 12203, Berlin, Deutschland. rahel.strobel@charite.de.

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|January 7, 2021
PubMed

Insights

Surgical site infections (SSIs) are common hospital-acquired infections. Prevention involves preoperative antisepsis and antibiotic prophylaxis, while treatment focuses on wound debridement.

Area of Science:

  • Infectious Diseases
  • Surgical Infections
  • Hospital Epidemiology

Background:

  • Surgical site infections (SSIs) are the most frequent nosocomial infections in Germany.
  • SSIs are defined as infections occurring within 30 days post-surgery, with specific diagnostic criteria.
  • Wound infections are classified into superficial incisional, deep incisional, and organ/cavity infections.

Purpose of the Study:

  • To summarize the epidemiology, risk factors, prevention, and treatment of surgical site infections.
  • To provide a comprehensive overview of diagnostic criteria and classification of SSIs.

Main Methods:

  • Review of diagnostic criteria for SSIs.
  • Identification of risk factors associated with SSI development.
  • Summary of established preventive measures and treatment strategies.

Main Results:

  • Key risk factors for SSIs include anemia, immunosuppression, diabetes, obesity, smoking, and malnutrition.
  • Effective preoperative preventive measures include surgical site antisepsis and antibiotic prophylaxis.
  • Intraoperative wound irrigation with antiseptics shows promise in reducing SSIs in visceral surgery.

Conclusions:

  • SSIs represent a significant challenge in healthcare settings, necessitating robust preventive strategies.
  • Multifactorial risk factor management and adherence to preventive protocols are crucial for reducing SSI incidence.
  • Prompt and appropriate treatment, including wound debridement, is essential for managing SSIs.
Keywords:
AntisepsisDebridementPathogen spectrumPreventive measuresWound irrigation

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