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1. Surgical Site Infections
In Surgical Unit
‫الدكتور‬ ‫اشراف‬
‫محمد‬ ‫جاسم‬ ‫زاهد‬
‫اعداد‬
:
‫عماش‬ ‫صباح‬ ‫ايمان‬
‫صالل‬ ‫حسن‬ ‫مالك‬
‫خميس‬ ‫علي‬ ‫سماء‬
‫علي‬ ‫محمود‬ ‫نورا‬
‫عباس‬ ‫حميد‬ ‫نوره‬

3. Location of surgical unit
It is located at Baghdad teaching hospital in
5th floor ; it contains six rooms ; each room
contains four bed ;total of bed in this unit are
24 beds and has 16 nurses (divided in
morning shift 6 nurses and night shift 3
nurses ) .

4. Introduction
In this ward there are patients with surgeries
related to GIT disorders such
as(appendectomy ,cholecystectomy, hernia,
etc.
So when patients complete surgery in
operation room , patients admitted to this ward
and may be develop incision infection called
surgical site infections .

5. Definition
SSI : the infection of wound can be defined
as the invasion organisms through tissue
following by breakdown of local & systemic
host defense .

6. Surgical infection is major problem in surgical
practice.
In 1992, the US Center for Disease Control (CDC)
revised its definition of wound infection creating
the definition surgical site infection SSI to prevent
confusion between infection of surgical incision &
infection of traumatic wound .
Accounts for 15-25% of all surgical infection &
increase cost of healthcare.

7. Wound healing and care
1. Demonstrate use of senses in observing
skin/wounds (looking, touching , smelling).
2. Routine care of wound and surgical drains.
3. Recognize signs/symptoms of inflammation .
4. Correct technique of changing clean and sterile
dressings.

8. Wound
A break in the skin or mucous membrane
and alteration in integrity of skin .

9. Types of wound
Clean wound – not infected usually intentional
such as surgical wound.
Contaminated wound –high risk of infection.
Infected wound –dirty wound contain bacteria
and signs of infection.
Open wound –skin or mucous membrane is
broken.

10. Surgical wound

11. Bacteria in surgical wound
The most common causative organisms associated
with wound infection include :
• Staphylococcus Aureus
• MRSA
• Streptococcus Pyogenes
• Enterococci
• Pseudomonas Aeruginosa

12. MRSA
phylococcus

13. Risk factors for developing SSI
1. Broken skin
2. Age (young /old)
3. Nutritional status
4. Chronic disease (DM,HTN)
5. Medical therapy – steroids ,chemotherapy and
radiation

14. Principles of tissue healing
The body's ability to healing is influenced by:
Extent of damage, i.e. skin intact or broken
Person state of health, i.e. nutrition status
Body's response to healing
Healing is promoted when wound is free of
foreign bodies and bacteria

15. Thank
you