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Related Experiment Video

Updated: Jul 27, 2025

Collecting And Measuring Wound Exudate Biochemical Mediators In Surgical Wounds
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Awareness and wound assesment decrease surgical site infections.

Merve Akın1, Serdar Topaloğlu2, Hakan Özel1

  • 1Clinic of General Surgery, Ankara City Hospital, Ankara, Turkey.

Turkish Journal of Surgery
|June 5, 2023
PubMed
Summary

Preoperative risk assessment tools for surgical site infections (SSI) show a weak but significant correlation with the ASEPSIS wound monitoring scale. Increased awareness and wound assessment reduced SSI rates over time.

Keywords:
AsepsisSSInnissenic

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Area of Science:

  • Infection Control
  • Surgical Outcomes
  • Public Health

Background:

  • Surgical site infections (SSI) pose a significant challenge in healthcare.
  • Effective surveillance and risk assessment are crucial for managing SSI.
  • Existing methods for SSI surveillance and risk stratification require ongoing evaluation.

Purpose of the Study:

  • To evaluate the practicality of the Surgical care and Outcomes Assessment Program (SENIC) and the National Nosocomial Infections Surveillance (NNIS) systems for SSI risk assessment.
  • To assess the efficacy of the ASEPSIS (Assessing the Severity of Postoperative Surgical Site Infection) scale as an outcome measure.
  • To determine the contribution of wound assessment to the reduction of SSI rates.

Main Methods:

  • A prospective study followed patients for four years, collecting data via chart review.
  • Correlations were analyzed between the SENIC and NNIS risk assessment methods and the ASEPSIS outcome measure.
  • Statistical analyses were performed to identify predictive factors for SSI and assess changes in SSI rates over time.

Main Results:

  • A weak but significant positive correlation was observed between SENIC and ASEPSIS (rs=0.41, p <0.001), and NNIS and ASEPSIS (rs=0.37, p <0.001).
  • Independent predictors of SSI included type of operation (emergency vs. elective), body mass index, operation class, and American Society of Anesthesiologists scores.
  • A significant decrease in the SSI rate was observed in the fourth year of the study (p <0.001).

Conclusions:

  • Preoperative SSI risk assessment methods (SENIC, NNIS) demonstrate a weak but statistically significant correlation with the ASEPSIS wound monitoring scale.
  • Enhanced surgical wound assessment and heightened awareness of infection rates contribute to a reduction in SSI incidence.
  • Continuous surveillance and risk stratification are vital for improving surgical patient safety and outcomes.