SlideShare a Scribd company logo
1 of 37
03/28/11   08:13 AM Surgical Site Infections:  Problems and Prevention. Dr. P.S.Reddy, MD De partment of Microbiology & Infectious Diseases NARAYANA MEDICAL COLLEGE.
Objectives ,[object Object],[object Object],[object Object],[object Object],03/28/11   08:13 AM
Why SSI as a Topic? ,[object Object],[object Object],[object Object],[object Object],03/28/11   08:13 AM
SSI definition ,[object Object],03/28/11   08:13 AM
Criteria for Defining SSI ,[object Object],[object Object],[object Object],[object Object],03/28/11   08:13 AM
Do not report the following conditions as SSI: ,[object Object],[object Object],[object Object],[object Object],03/28/11   08:13 AM
Public Health Importance of SSI. ,[object Object],[object Object],03/28/11   08:13 AM ( SP Lilani, et al.   IJMM  2005    23: 4: 249-252)
03/28/11   08:13 AM ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],(Kirkland KB et al, Infect Control Hosp Epidemiol. 1999 Nov;20(11):725-30).
03/28/11   08:13 AM Cross Section of Abdominal Wall  Depicting CDC  Classification on SSI(1992).
Source of SSI Pathogens ,[object Object],[object Object],[object Object],03/28/11   08:13 AM
03/28/11   08:13 AM Microbiology of SSI 1986-1989 1990-1996 Staphylococcus aureus 17% Coagulase neg. staphylococci 12% Escherichia coli 10% Enterococcus spp.  8% Pseudomonas aeruginosa 8% Staphylococcus aureus 20% Coagulase neg. staphylococci 14% Escherichia coli 8% Enterococcus spp. 12% Pseudomonas aeruginosa 8%
Microbiology of SSIs   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],03/28/11   08:13 AM
Pathogenesis of SSI ,[object Object],03/28/11   08:13 AM
SSI Risk Factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],03/28/11   08:13 AM
Are they Preventable?. If so How?. 03/28/11   08:13 AM
Antimicrobial  Prophylaxis (AP) in SSI. ,[object Object],[object Object],[object Object],[object Object],[object Object],03/28/11   08:13 AM Prosepective study of 2,847 cases  Classen, 1992 (NEJM 326:281-286)
Impact of Prolonged Surgical AP ,[object Object],[object Object],[object Object],03/28/11   08:13 AM (Prosepective study of 2,641 cases  Classen, 1992 (NEJM 326:281-286)
Enhanced Perioperative Glucose Control in Diabetic Patients ,[object Object],[object Object],03/28/11   08:13 AM Furnary AP; Ann Thorac Surg, 2000 • Glucose levels < 200 mg%
Supplemental  Perioperative O 2   ,[object Object],[object Object],[object Object],03/28/11   08:13 AM (Greif, R, et al , NEJM, 2000)
03/28/11   08:13 AM Most studies shows antiseptic showering decreases colony counts. No Shower Shower Cruse, 1973   2.3%   1.3% Ayliffe, 1983   4.9%   5.4% Rooter, 1988   2.4%   2.6% Pre-operative Antiseptic Showers/Baths
03/28/11   08:13 AM Seropian, 1971 Method of hair removal Razor : 5.6%  Depilatory : 0.6%  No hair removal : 0.6%  Timing of hair removal Shaving immediately before : 3.1%  Shaving    24 hours before  : 7.1% Shaving >24 hours before  : 20 %  Pre-operative Shaving / Hair Removal
03/28/11   08:13 AM Multiple studies show Clipping immediately before operation    associated with lower SSI risk than    shaving or clipping the night before operation Pre-operative Shaving/Hair Removal
Surgical Attire ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],03/28/11   08:13 AM
Surgical technique ,[object Object],[object Object],[object Object],[object Object],[object Object],03/28/11   08:13 AM
Surgery Room Ventilation ,[object Object],[object Object],[object Object],03/28/11   08:13 AM (American Institute of Architects, 1996)
Role of HEPA filters in Preventing SSI ,[object Object],[object Object],[object Object],[object Object],03/28/11   08:13 AM
Post operative care ,[object Object],[object Object],[object Object],03/28/11   08:13 AM
? BURDEN OF SSI. ,[object Object],[object Object],03/28/11   08:13 AM
CDC Surveillance Systems 03/28/11   08:13 AM 1999-2004 1970-2004 1996-present NNIS DSN NaSH Nosocomial infections in critical care and surgical patients Bloodstream and vascular access infections in dialysis outpatients Exposure to blood borne pathogens; TB skin testing and exposure; Vaccine: history, receipt, and adverse events
What Is NHSN? N NIS NaS H D SN 03/28/11   08:13 AM Integration of CDC’s three patient and healthcare personnel surveillance systems
NHSN Premises ,[object Object],[object Object],[object Object],[object Object],[object Object],03/28/11   08:13 AM
How do we develop policy to prevent SSI?  03/28/11   08:13 AM
Healthcare Infection Control Practices Advisory Committee (HICPAC)  03/28/11   08:13 AM
Healthcare Infection Control Practices Advisory Committee MISSION ,[object Object],03/28/11   08:13 AM
Hospital Infection Control Practices Advisory Committee (HICPAC) Partial Recommendations for the Prevention of Surgical Site Infections-1999.   03/28/11   08:13 AM ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],03/28/11   08:13 AM
03/28/11   08:13 AM PREVENTION  IS PRIMARY! Protect patients…protect healthcare personnel… promote quality healthcare! THANQ

More Related Content

What's hot

Prevention of Surgical Site Infection
Prevention of  Surgical Site InfectionPrevention of  Surgical Site Infection
Prevention of Surgical Site InfectionVaibhav Bagaria
 
Surgical site infection
Surgical site infectionSurgical site infection
Surgical site infectionEaswar Moorthy
 
Management of post operative wound infection
Management of post operative wound infectionManagement of post operative wound infection
Management of post operative wound infectionBashir BnYunus
 
Fresh from the press: Updated best practices in Surgical Site Infection Preve...
Fresh from the press: Updated best practices in Surgical Site Infection Preve...Fresh from the press: Updated best practices in Surgical Site Infection Preve...
Fresh from the press: Updated best practices in Surgical Site Infection Preve...Canadian Patient Safety Institute
 
Surgical Site Infection updated by Manojit(MS)
Surgical Site Infection updated by Manojit(MS)Surgical Site Infection updated by Manojit(MS)
Surgical Site Infection updated by Manojit(MS)Dr.Manojit Sarkar
 
Prevention of Surgical Site Infection- SSI [compatibility mode]
Prevention of Surgical Site Infection- SSI [compatibility mode]Prevention of Surgical Site Infection- SSI [compatibility mode]
Prevention of Surgical Site Infection- SSI [compatibility mode]drnahla
 
Prevention of surgical site infections: WHO global guidelines 2016
Prevention of surgical site infections: WHO global guidelines 2016Prevention of surgical site infections: WHO global guidelines 2016
Prevention of surgical site infections: WHO global guidelines 2016Jibran Mohsin
 
Surgical site-infection
Surgical site-infectionSurgical site-infection
Surgical site-infectionVeeru Reddy
 
Surgical Site Infection- SSI by Okoye
Surgical Site Infection- SSI by OkoyeSurgical Site Infection- SSI by Okoye
Surgical Site Infection- SSI by OkoyeChukwuma-Ikem Okoye
 
Surgical site infections
Surgical site infectionsSurgical site infections
Surgical site infectionsRia Macrae
 
Atlas surgical site infection
Atlas surgical site infectionAtlas surgical site infection
Atlas surgical site infectionHIRANGER
 
Surgical site infection& amp dr. anil ganju
Surgical site infection& amp dr. anil ganjuSurgical site infection& amp dr. anil ganju
Surgical site infection& amp dr. anil ganjusubauday
 
Surgical Site infections
Surgical Site infectionsSurgical Site infections
Surgical Site infectionsHany Lotfy
 
Updated recommendations for control of surgical site infections
Updated recommendations for control of surgical site infectionsUpdated recommendations for control of surgical site infections
Updated recommendations for control of surgical site infectionsMuhammad Jawad
 
Postoperative wound infections and their antimicrobial susceptibility pattern...
Postoperative wound infections and their antimicrobial susceptibility pattern...Postoperative wound infections and their antimicrobial susceptibility pattern...
Postoperative wound infections and their antimicrobial susceptibility pattern...pharmaindexing
 
Surgical site infections: Latest Approach on management.
Surgical site infections: Latest Approach on management.Surgical site infections: Latest Approach on management.
Surgical site infections: Latest Approach on management.drsp46
 

What's hot (20)

Prevention of Surgical Site Infection
Prevention of  Surgical Site InfectionPrevention of  Surgical Site Infection
Prevention of Surgical Site Infection
 
Surgical site infection
Surgical site infectionSurgical site infection
Surgical site infection
 
Management of post operative wound infection
Management of post operative wound infectionManagement of post operative wound infection
Management of post operative wound infection
 
Fresh from the press: Updated best practices in Surgical Site Infection Preve...
Fresh from the press: Updated best practices in Surgical Site Infection Preve...Fresh from the press: Updated best practices in Surgical Site Infection Preve...
Fresh from the press: Updated best practices in Surgical Site Infection Preve...
 
Surgical Site Infection updated by Manojit(MS)
Surgical Site Infection updated by Manojit(MS)Surgical Site Infection updated by Manojit(MS)
Surgical Site Infection updated by Manojit(MS)
 
Prevention of Surgical Site Infection- SSI [compatibility mode]
Prevention of Surgical Site Infection- SSI [compatibility mode]Prevention of Surgical Site Infection- SSI [compatibility mode]
Prevention of Surgical Site Infection- SSI [compatibility mode]
 
Prevention of surgical site infections: WHO global guidelines 2016
Prevention of surgical site infections: WHO global guidelines 2016Prevention of surgical site infections: WHO global guidelines 2016
Prevention of surgical site infections: WHO global guidelines 2016
 
Surgical site-infection
Surgical site-infectionSurgical site-infection
Surgical site-infection
 
Surgical Site Infection- SSI by Okoye
Surgical Site Infection- SSI by OkoyeSurgical Site Infection- SSI by Okoye
Surgical Site Infection- SSI by Okoye
 
SURGICAL SITE INFECTIONS an update working protocol
SURGICAL SITE INFECTIONSan updateworking protocol  SURGICAL SITE INFECTIONSan updateworking protocol
SURGICAL SITE INFECTIONS an update working protocol
 
Surgical site infections
Surgical site infectionsSurgical site infections
Surgical site infections
 
Atlas surgical site infection
Atlas surgical site infectionAtlas surgical site infection
Atlas surgical site infection
 
Surgical site infection& amp dr. anil ganju
Surgical site infection& amp dr. anil ganjuSurgical site infection& amp dr. anil ganju
Surgical site infection& amp dr. anil ganju
 
Surgical Site infections
Surgical Site infectionsSurgical Site infections
Surgical Site infections
 
Updated recommendations for control of surgical site infections
Updated recommendations for control of surgical site infectionsUpdated recommendations for control of surgical site infections
Updated recommendations for control of surgical site infections
 
Postoperative wound infections and their antimicrobial susceptibility pattern...
Postoperative wound infections and their antimicrobial susceptibility pattern...Postoperative wound infections and their antimicrobial susceptibility pattern...
Postoperative wound infections and their antimicrobial susceptibility pattern...
 
Surgical Site Infection
Surgical Site InfectionSurgical Site Infection
Surgical Site Infection
 
2016 WHO Guidelines on the Prevention of Surgical Site Infection (SSI)
2016 WHO Guidelines on the Prevention of Surgical Site Infection (SSI)2016 WHO Guidelines on the Prevention of Surgical Site Infection (SSI)
2016 WHO Guidelines on the Prevention of Surgical Site Infection (SSI)
 
Surgical site infections: Latest Approach on management.
Surgical site infections: Latest Approach on management.Surgical site infections: Latest Approach on management.
Surgical site infections: Latest Approach on management.
 
SURGICAL SITE INFECTIONS PREVENTION AND CARE
SURGICAL SITE INFECTIONS PREVENTION AND CARESURGICAL SITE INFECTIONS PREVENTION AND CARE
SURGICAL SITE INFECTIONS PREVENTION AND CARE
 

Viewers also liked

Surgical site infections - Diagnosis, treatment and Prevention guidelines
Surgical site infections - Diagnosis, treatment and Prevention guidelinesSurgical site infections - Diagnosis, treatment and Prevention guidelines
Surgical site infections - Diagnosis, treatment and Prevention guidelinesRahul Agarwal
 
catheter related blood stream infections-complete material
catheter related blood stream infections-complete materialcatheter related blood stream infections-complete material
catheter related blood stream infections-complete materialRahul Arya
 
CATHETER RELATED BLOOD STREAM INFECTION
CATHETER RELATED BLOOD STREAM INFECTIONCATHETER RELATED BLOOD STREAM INFECTION
CATHETER RELATED BLOOD STREAM INFECTIONAnil Kumar KM
 
summer internship project(1)
summer internship project(1)summer internship project(1)
summer internship project(1)Dr Dipti Tawde
 
Preparation Of Surgical Team,Pack And Patient
Preparation Of Surgical Team,Pack And PatientPreparation Of Surgical Team,Pack And Patient
Preparation Of Surgical Team,Pack And PatientDr.Mudasir Bashir
 
Surgical infections and antibiotics selections
Surgical infections and antibiotics selectionsSurgical infections and antibiotics selections
Surgical infections and antibiotics selectionsmasoud salaran
 
CATHETER RELATED BLOOD STREAM INFECTIONS
CATHETER RELATED BLOOD STREAM INFECTIONSCATHETER RELATED BLOOD STREAM INFECTIONS
CATHETER RELATED BLOOD STREAM INFECTIONSASSOCHAM
 
Surgical Wound Classification
Surgical Wound ClassificationSurgical Wound Classification
Surgical Wound ClassificationDene W. Daugherty
 
Wound: classification, healing and principle of management
Wound: classification, healing and principle of managementWound: classification, healing and principle of management
Wound: classification, healing and principle of managementKenna Urgessa
 
Ventilator associated pneumonia
Ventilator associated pneumoniaVentilator associated pneumonia
Ventilator associated pneumoniaBeena Philip
 

Viewers also liked (15)

Surgical site infections - Diagnosis, treatment and Prevention guidelines
Surgical site infections - Diagnosis, treatment and Prevention guidelinesSurgical site infections - Diagnosis, treatment and Prevention guidelines
Surgical site infections - Diagnosis, treatment and Prevention guidelines
 
Recommended Practices for Surgical Attire
Recommended Practices for Surgical AttireRecommended Practices for Surgical Attire
Recommended Practices for Surgical Attire
 
catheter related blood stream infections-complete material
catheter related blood stream infections-complete materialcatheter related blood stream infections-complete material
catheter related blood stream infections-complete material
 
CATHETER RELATED BLOOD STREAM INFECTION
CATHETER RELATED BLOOD STREAM INFECTIONCATHETER RELATED BLOOD STREAM INFECTION
CATHETER RELATED BLOOD STREAM INFECTION
 
Surgical site infection 2015
Surgical site infection 2015Surgical site infection 2015
Surgical site infection 2015
 
summer internship project(1)
summer internship project(1)summer internship project(1)
summer internship project(1)
 
SSI Bundles
SSI BundlesSSI Bundles
SSI Bundles
 
Preparation Of Surgical Team,Pack And Patient
Preparation Of Surgical Team,Pack And PatientPreparation Of Surgical Team,Pack And Patient
Preparation Of Surgical Team,Pack And Patient
 
Infection control
Infection controlInfection control
Infection control
 
Surgical infections and antibiotics selections
Surgical infections and antibiotics selectionsSurgical infections and antibiotics selections
Surgical infections and antibiotics selections
 
CATHETER RELATED BLOOD STREAM INFECTIONS
CATHETER RELATED BLOOD STREAM INFECTIONSCATHETER RELATED BLOOD STREAM INFECTIONS
CATHETER RELATED BLOOD STREAM INFECTIONS
 
Surgical Wound Classification
Surgical Wound ClassificationSurgical Wound Classification
Surgical Wound Classification
 
Wound: classification, healing and principle of management
Wound: classification, healing and principle of managementWound: classification, healing and principle of management
Wound: classification, healing and principle of management
 
Catheter Related Bloodstream Infection (CRBSI)
Catheter Related Bloodstream Infection (CRBSI)Catheter Related Bloodstream Infection (CRBSI)
Catheter Related Bloodstream Infection (CRBSI)
 
Ventilator associated pneumonia
Ventilator associated pneumoniaVentilator associated pneumonia
Ventilator associated pneumonia
 

Similar to Ssi ;problems&prevention

Preventing surgical site infections in spinal surgery
Preventing surgical site infections in spinal surgeryPreventing surgical site infections in spinal surgery
Preventing surgical site infections in spinal surgerySpiro Antoniades
 
Postoperative Spinal Infection
Postoperative Spinal InfectionPostoperative Spinal Infection
Postoperative Spinal InfectionSohail Bajammal
 
Bioeffect Of Ultra Sound
Bioeffect Of  Ultra SoundBioeffect Of  Ultra Sound
Bioeffect Of Ultra SoundShatha M
 
Accidents of Radaition Therapy
Accidents of Radaition TherapyAccidents of Radaition Therapy
Accidents of Radaition TherapyFerdos Albayedh
 
Angel Catheter Clinical Evidence Packet
Angel Catheter Clinical Evidence PacketAngel Catheter Clinical Evidence Packet
Angel Catheter Clinical Evidence PacketStacy Brewer, MBA
 
14.54 krajcer global experience with tri vascular
14.54 krajcer global experience with tri vascular14.54 krajcer global experience with tri vascular
14.54 krajcer global experience with tri vascularSalutaria
 
EU Needlestick directive
EU Needlestick directiveEU Needlestick directive
EU Needlestick directivePeter Noone
 
The 18th International AIDS Conference (AIDS 2010)
The 18th International AIDS Conference (AIDS 2010)The 18th International AIDS Conference (AIDS 2010)
The 18th International AIDS Conference (AIDS 2010)Abhishek Shah
 
Health Surveillance of asbestos-exposed workers at Helsinki Asbestos 2014
Health Surveillance of asbestos-exposed workers at Helsinki Asbestos 2014Health Surveillance of asbestos-exposed workers at Helsinki Asbestos 2014
Health Surveillance of asbestos-exposed workers at Helsinki Asbestos 2014Työterveyslaitos
 
Patient protection in dentistry
Patient protection in dentistryPatient protection in dentistry
Patient protection in dentistryPeter Selato
 
Patient Protection in Dentistry
Patient Protection in DentistryPatient Protection in Dentistry
Patient Protection in DentistryPeter Selato
 
Periop conference working toward zero ssi - sep 11 2010
Periop conference   working toward zero ssi - sep 11 2010Periop conference   working toward zero ssi - sep 11 2010
Periop conference working toward zero ssi - sep 11 2010Maureen Spencer, RN, M.Ed.
 
Взаимовыгодная реклама - Осенние скидки
Взаимовыгодная реклама - Осенние скидкиВзаимовыгодная реклама - Осенние скидки
Взаимовыгодная реклама - Осенние скидкиmycasio
 
Role of Anesthesiologist in Cath Lab
Role of Anesthesiologist in Cath LabRole of Anesthesiologist in Cath Lab
Role of Anesthesiologist in Cath LabAbhijit Nair
 
ERECTILE RESTORATION: SURGICAL Peri-operative management and guidelines
ERECTILE RESTORATION: SURGICAL Peri-operative management and guidelinesERECTILE RESTORATION: SURGICAL Peri-operative management and guidelines
ERECTILE RESTORATION: SURGICAL Peri-operative management and guidelinesEsther García Rojo
 

Similar to Ssi ;problems&prevention (20)

Gopal Sedain
Gopal SedainGopal Sedain
Gopal Sedain
 
Preventing surgical site infections in spinal surgery
Preventing surgical site infections in spinal surgeryPreventing surgical site infections in spinal surgery
Preventing surgical site infections in spinal surgery
 
Postoperative Spinal Infection
Postoperative Spinal InfectionPostoperative Spinal Infection
Postoperative Spinal Infection
 
Bioeffect Of Ultra Sound
Bioeffect Of  Ultra SoundBioeffect Of  Ultra Sound
Bioeffect Of Ultra Sound
 
Salzer
SalzerSalzer
Salzer
 
Accidents of Radaition Therapy
Accidents of Radaition TherapyAccidents of Radaition Therapy
Accidents of Radaition Therapy
 
Angel Catheter Clinical Evidence Packet
Angel Catheter Clinical Evidence PacketAngel Catheter Clinical Evidence Packet
Angel Catheter Clinical Evidence Packet
 
14.54 krajcer global experience with tri vascular
14.54 krajcer global experience with tri vascular14.54 krajcer global experience with tri vascular
14.54 krajcer global experience with tri vascular
 
EU Needlestick directive
EU Needlestick directiveEU Needlestick directive
EU Needlestick directive
 
The 18th International AIDS Conference (AIDS 2010)
The 18th International AIDS Conference (AIDS 2010)The 18th International AIDS Conference (AIDS 2010)
The 18th International AIDS Conference (AIDS 2010)
 
Health Surveillance of asbestos-exposed workers at Helsinki Asbestos 2014
Health Surveillance of asbestos-exposed workers at Helsinki Asbestos 2014Health Surveillance of asbestos-exposed workers at Helsinki Asbestos 2014
Health Surveillance of asbestos-exposed workers at Helsinki Asbestos 2014
 
How to prevent fatal pulmonary embolism
How to prevent fatal pulmonary embolismHow to prevent fatal pulmonary embolism
How to prevent fatal pulmonary embolism
 
Ct basics 2
Ct basics 2Ct basics 2
Ct basics 2
 
Patient protection in dentistry
Patient protection in dentistryPatient protection in dentistry
Patient protection in dentistry
 
Patient Protection in Dentistry
Patient Protection in DentistryPatient Protection in Dentistry
Patient Protection in Dentistry
 
Periop conference working toward zero ssi - sep 11 2010
Periop conference   working toward zero ssi - sep 11 2010Periop conference   working toward zero ssi - sep 11 2010
Periop conference working toward zero ssi - sep 11 2010
 
Взаимовыгодная реклама - Осенние скидки
Взаимовыгодная реклама - Осенние скидкиВзаимовыгодная реклама - Осенние скидки
Взаимовыгодная реклама - Осенние скидки
 
SURGICAL SAFETY.pptx
SURGICAL SAFETY.pptxSURGICAL SAFETY.pptx
SURGICAL SAFETY.pptx
 
Role of Anesthesiologist in Cath Lab
Role of Anesthesiologist in Cath LabRole of Anesthesiologist in Cath Lab
Role of Anesthesiologist in Cath Lab
 
ERECTILE RESTORATION: SURGICAL Peri-operative management and guidelines
ERECTILE RESTORATION: SURGICAL Peri-operative management and guidelinesERECTILE RESTORATION: SURGICAL Peri-operative management and guidelines
ERECTILE RESTORATION: SURGICAL Peri-operative management and guidelines
 

More from sreenivasulu Reddy (11)

How to strenghthen medical education
How to strenghthen medical educationHow to strenghthen medical education
How to strenghthen medical education
 
Brucella
BrucellaBrucella
Brucella
 
Structure of immune system mbbs
Structure of immune system mbbsStructure of immune system mbbs
Structure of immune system mbbs
 
Infection
InfectionInfection
Infection
 
Herpes viruses
Herpes viruses Herpes viruses
Herpes viruses
 
My.tuberculosis
My.tuberculosisMy.tuberculosis
My.tuberculosis
 
Bordetella,
Bordetella,Bordetella,
Bordetella,
 
Actinomycetales
ActinomycetalesActinomycetales
Actinomycetales
 
Actinomycetales
ActinomycetalesActinomycetales
Actinomycetales
 
Ot surveillance
Ot surveillanceOt surveillance
Ot surveillance
 
Ot surveillance
Ot surveillanceOt surveillance
Ot surveillance
 

Recently uploaded

Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Circulatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanismsCirculatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanismsMedicoseAcademics
 
💞 Safe And Secure Call Girls Coimbatore🧿 6378878445 🧿 High Class Coimbatore C...
💞 Safe And Secure Call Girls Coimbatore🧿 6378878445 🧿 High Class Coimbatore C...💞 Safe And Secure Call Girls Coimbatore🧿 6378878445 🧿 High Class Coimbatore C...
💞 Safe And Secure Call Girls Coimbatore🧿 6378878445 🧿 High Class Coimbatore C...dilbirsingh0889
 
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana GuptaLifecare Centre
 
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...gragneelam30
 
Call Girls Wayanad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Wayanad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Wayanad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Wayanad Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Difference Between Skeletal Smooth and Cardiac Muscles
Difference Between Skeletal Smooth and Cardiac MusclesDifference Between Skeletal Smooth and Cardiac Muscles
Difference Between Skeletal Smooth and Cardiac MusclesMedicoseAcademics
 
Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...soniyagrag336
 
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...Janvi Singh
 
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room DeliveryCall 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room DeliveryJyoti singh
 
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...call girls hydrabad
 
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...Janvi Singh
 
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...Cara Menggugurkan Kandungan 087776558899
 
❤️ Chandigarh Call Girls☎️98151-579OO☎️ Call Girl service in Chandigarh ☎️ Ch...
❤️ Chandigarh Call Girls☎️98151-579OO☎️ Call Girl service in Chandigarh ☎️ Ch...❤️ Chandigarh Call Girls☎️98151-579OO☎️ Call Girl service in Chandigarh ☎️ Ch...
❤️ Chandigarh Call Girls☎️98151-579OO☎️ Call Girl service in Chandigarh ☎️ Ch...Rashmi Entertainment
 
Cardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their RegulationCardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their RegulationMedicoseAcademics
 
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...dishamehta3332
 
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...Dipal Arora
 
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableSteve Davis
 
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...amritaverma53
 
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxSwetaba Besh
 

Recently uploaded (20)

Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
 
Circulatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanismsCirculatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanisms
 
💞 Safe And Secure Call Girls Coimbatore🧿 6378878445 🧿 High Class Coimbatore C...
💞 Safe And Secure Call Girls Coimbatore🧿 6378878445 🧿 High Class Coimbatore C...💞 Safe And Secure Call Girls Coimbatore🧿 6378878445 🧿 High Class Coimbatore C...
💞 Safe And Secure Call Girls Coimbatore🧿 6378878445 🧿 High Class Coimbatore C...
 
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
 
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
 
Call Girls Wayanad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Wayanad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Wayanad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Wayanad Just Call 8250077686 Top Class Call Girl Service Available
 
Difference Between Skeletal Smooth and Cardiac Muscles
Difference Between Skeletal Smooth and Cardiac MusclesDifference Between Skeletal Smooth and Cardiac Muscles
Difference Between Skeletal Smooth and Cardiac Muscles
 
Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...
 
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
 
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room DeliveryCall 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
 
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
 
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
 
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
 
❤️ Chandigarh Call Girls☎️98151-579OO☎️ Call Girl service in Chandigarh ☎️ Ch...
❤️ Chandigarh Call Girls☎️98151-579OO☎️ Call Girl service in Chandigarh ☎️ Ch...❤️ Chandigarh Call Girls☎️98151-579OO☎️ Call Girl service in Chandigarh ☎️ Ch...
❤️ Chandigarh Call Girls☎️98151-579OO☎️ Call Girl service in Chandigarh ☎️ Ch...
 
Cardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their RegulationCardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their Regulation
 
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
 
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
 
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
 
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
 
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
 

Ssi ;problems&prevention

  • 1. 03/28/11 08:13 AM Surgical Site Infections: Problems and Prevention. Dr. P.S.Reddy, MD De partment of Microbiology & Infectious Diseases NARAYANA MEDICAL COLLEGE.
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9. 03/28/11 08:13 AM Cross Section of Abdominal Wall Depicting CDC Classification on SSI(1992).
  • 10.
  • 11. 03/28/11 08:13 AM Microbiology of SSI 1986-1989 1990-1996 Staphylococcus aureus 17% Coagulase neg. staphylococci 12% Escherichia coli 10% Enterococcus spp. 8% Pseudomonas aeruginosa 8% Staphylococcus aureus 20% Coagulase neg. staphylococci 14% Escherichia coli 8% Enterococcus spp. 12% Pseudomonas aeruginosa 8%
  • 12.
  • 13.
  • 14.
  • 15. Are they Preventable?. If so How?. 03/28/11 08:13 AM
  • 16.
  • 17.
  • 18.
  • 19.
  • 20. 03/28/11 08:13 AM Most studies shows antiseptic showering decreases colony counts. No Shower Shower Cruse, 1973 2.3% 1.3% Ayliffe, 1983 4.9% 5.4% Rooter, 1988 2.4% 2.6% Pre-operative Antiseptic Showers/Baths
  • 21. 03/28/11 08:13 AM Seropian, 1971 Method of hair removal Razor : 5.6% Depilatory : 0.6% No hair removal : 0.6% Timing of hair removal Shaving immediately before : 3.1% Shaving  24 hours before : 7.1% Shaving >24 hours before : 20 % Pre-operative Shaving / Hair Removal
  • 22. 03/28/11 08:13 AM Multiple studies show Clipping immediately before operation associated with lower SSI risk than shaving or clipping the night before operation Pre-operative Shaving/Hair Removal
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29. CDC Surveillance Systems 03/28/11 08:13 AM 1999-2004 1970-2004 1996-present NNIS DSN NaSH Nosocomial infections in critical care and surgical patients Bloodstream and vascular access infections in dialysis outpatients Exposure to blood borne pathogens; TB skin testing and exposure; Vaccine: history, receipt, and adverse events
  • 30. What Is NHSN? N NIS NaS H D SN 03/28/11 08:13 AM Integration of CDC’s three patient and healthcare personnel surveillance systems
  • 31.
  • 32. How do we develop policy to prevent SSI? 03/28/11 08:13 AM
  • 33. Healthcare Infection Control Practices Advisory Committee (HICPAC) 03/28/11 08:13 AM
  • 34.
  • 35.
  • 36.
  • 37. 03/28/11 08:13 AM PREVENTION IS PRIMARY! Protect patients…protect healthcare personnel… promote quality healthcare! THANQ

Editor's Notes

  1. What is OT? Surgery? All entities can participate on a limited basis. Hospitals and outpatient dialysis.