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Surgical Wound Infection in Trauma Patient | Risk Factors

Purpose: To evaluate a trauma patient for risk of surgical wound infection based on the study of Weigelt et al.

Description

Weigelt et al identified risk factors for surgical wound infection with patients with different types of traumatic injuries. These can help identify patients who may require more aggressive monitoring and treatment. The authors are from the University of Texas at Dallas.


Wound classifications used:

(1) clean

(2) clean-contaminated

(3) contaminated

 

Types of traumatic injuries:

(1) gunshot

(2) shotgun

(3) blunt

(4) stab wounds

 

Type of Injury

Risk Factors for Surgical Wound Infection

gunshot

wound classification, shock during surgery

shotgun

blood loss

blunt

wound classification, number of organs injured

stab

none

 

where:

• Blood loss categories: < 1,500 mL, 1,500 - 5,000 per mL, and > 5,000 mL.

• Numbers of organs injured: 1, 2, 3, and >= 4.

• Shock: systolic blood pressure < 90 mm Hg.


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Specialty

Objective

ICD-10