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INFECTION (SSI)
Define SSI
AKUH project
Role of nurse
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Importance
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Types Of Surgical Site Infection
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Surgical Wound closer categories
Primary closer:
Wound closed during surgery.
Secondary closer:
In secondary closer fascia closed but
skin and subcutaneous tissues left
open.
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Risk factors
• Age • Inadequate
Disinfection • Preoperative
• Obesity
sterilization skin
• Diabetes • skin preparation
• Malnutrition antisepsis Hypothermia
• Smoking • ventilation • Inadequate
• Surgical antibiotics
• Preoperative
drains prophylaxis
stay • Foreign • Prolonged
• Immune material in operative time
compromise surgical site • Sterile
dressing
• Pre operative
Do not shave the surgical site.
Skin preparation
Glucose control
Stop use of nicotine
Short hospital stay
Hand washing (surgical and medical)
Antimicrobial prophylaxis.
HICPAC and CDC guide line of SSI 2010
Cont…
• Intra operative
Ventilation
Hypothermia
Stop personnel traffic in OR
Disinfectant environmental surface
Sterilize instruments
Maintain surgical field
• Post operative
Remove dressing after 48 hours
Hand washing before and after procedure.
Use sterile technique
Educate incision care and sign of infection
Use high calorie diet.
Other SSI prevention Measures
• Encourage patient tobacco
cessation prior to surgery
cholecystectomy Orchidopexy
►Orthopedics:
Hernia repair Adult
Total knee Replacement
Wide local excision/ Total Hip Replacement
mastectomy ►Neurosurgery:
• http://www.cdc.gov/hai/ssi/ssi.html
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