3. Introduction
● Surgical infection is major problem in surgical practice.
In 1992
fo noitinifed sti desiver )CDC( lortnoC esaesiD rof sretneC SU eht ,
tneverp ot )ISS( 'noitcefni etis lacigrus' noitinifed eht gnitaerc ,'noitcefni dnuow'
a fo noitcefni eht dna noisicni lacigrus a fo noitcefni eht neewteb noisufnoc
dnuow citamuart
.
•Accounts for 15
-
25
% of all surgical infections & increased cost to healthcare.
4. Definition
The infection of a wound can be defined as the invasion of organisms through
tissues following a breakdown of local & systemic host defences leading to local &
systemic presentation.
5. Important Definitions
■SSI
Is an infected incised wound or deep organ space.
■SIRS
Is the body's systemic response to an infected wound.
-MODS
Is the effect that the infection produces systemically.
■MSOF
Is the end-stage of uncontrolled MODS.
6. ● SIRS - Any 2
Hyperthermia (> 38°C) or Hypothermia (< 36°C) Tachycardia (> 90
ro )nim/
>( aeonpyhcaT
20
> CBW )nim/
12 x 10 9/1 or < 4
×
109/1
● SEPSIS
Is SIRS with a documented infection.
● SEPSIS SYNDROME
Is sepsis with evidence of one or more organ failures.
