Description

The Centers for Disease Control and Prevention (CDC) and National Healthcare Safety Network (NHSN) have developed surveillance definitions for health care-associated infection (HCAI) and specific types of infections in health care settings. The diagnosis of an infection involving an episiotomy site after vaginal delivery can be made if certain clinical features are present.


 

Patient selection: woman with an episiotomy after a vaginal delivery

 

Criteria for infection of the episiotomy site – one or both of the following:

(1) purulent drainage

(2) abscess at the episiotomy site

 

where:

• Additional criteria could be proposed: physician diagnosis, physician initiating treatment, positive cultures, and positive Gram stain.

 

In NHSN episiotomy is not considered an operative procedure; however, an infection would be considered healthcare-associated.

 


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