Types of Surgical Site Infection
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Superficial Incisional Surgical Site Infection – skin or subcutaneous tissue is involved, occurs within 30 days postoperatively, and must fulfil one of the following additional criteria:
- purulent drainage from incision with or without diagnostic laboratory testing
- isolated organisms from aseptically obtained fluid or tissue culture in incision
- at least one sign or symptom of clinical infection: localized pain, edema, erythema, warmth and the superficial incision is deliberately opened by a surgeon
- diagnosis of a superficial incisional SSI by a surgeon or attending physician
Deep Incisional Surgical Site Infection – involves deep soft tissues such as fascia or muscle within incision, occurs within 30 days postoperatively without implant, occurs within 1 year if implant is in place and infection appears to be directly related to surgical procedure, and must fulfill one of the following additional criteria:
- purulent drainage from incision but not from the organ/space of the site
- dehiscence or deliberate opening by the surgeon from the deep incision when the patient has at least one of the following signs or symptoms of clinical infection
- abscess or other evidence of infection involving the deep incision is found during examination of incision, reoperation, or pathologic or radiologic exam
- diagnosis of a deep incisional SSI by a surgeon or attending physician
Organ/Space Surgical Site Infection – involves any part of the anatomy other than the incision, occurs within 30 days postoperatively without implant, occurs within 1 year if implant is in place and infection appears to be directly related to surgical procedure, and must fulfill one of the following:
- purulence from a drain that was placed via stab incision into the organ/space
- isolated organisms from aseptically obtained fluid or tissue from the organ/space
- abscess or other evidence of infection involving the deep incision is found during examination of incision, reoperation, or pathologic or radiologic exam
- *If both superficial and deep layers are involved, or if organ/space SSI drains through incision, classification will be deep incisional SSI.
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Eliza Grace
Journal Manager
Journal of Surgical Pathology and Diagnosis