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 a superficial incisional surgical site infection (SSI) requires that certain criteria be met.


 

Criteria for superficial surgical incisional (SSI) infection – all of the following:

(1) onset <= 30 days after the surgical procedure

(2) only skin or subcutaneous tissue involved

(3) one or more of the following:

(3a) purulent drainage from a superficial incision

(3b) diagnosis of superficial incisional surgical site infection made by a physician

(3c) all of the following

(3c1) one or more of the following: pain, tenderness, redness, localized swelling, heat (signs of inflammation)

(3c2) incision deliberately opened by the surgeon

(3c3) culture positive or not done (NOT negative culture)

 

Subclassification

Features

superficial incisional primary (SIP)

infection in the primary (key) incision for an operation

superficial incisional secondary (SIS)

infection in a secondary incision when > 1 incision is made

 

Exclusions:

(1) stitch or suture abscess

(2) stab wound

(3) circumcision site

(4) burn wound

(5) deep incisional SSI

 


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