Post-operative infections account for a small but significant proportion of surgical complications. In the face of the continuing development of multiple drug resistant micro-organisms, infections will become increasingly difficult to manage. We are aware of our responsibilities in infection control, which we take very seriously. As such we audit all our clinical cases to assess the incidence of surgical site infections (SSI). We would be very grateful if you could take the time to complete an infection report card for any of our surgical cases which you determine have become infected.
An SSI occurs within 30 days of surgery if no implants were used or within one year of the date of surgery if implants were used.
Surgical site infections may occur at a superficial incisional level; the skin and subcutaneous layers. At a deep incisional layer; fascia and muscle of the surgical site, or at an organ or body cavity space opened during the surgery.
An SSI should be diagnosed by a veterinary surgeon. Purulent discharge/abcessation, isolation of organisms aseptically obtained from the site or pain, localised swelling and redness at the site are all diagnostic of an SSI.
A stitch abscess (minimal inflammation and discharge confined to the points of suture penetration) is not considered an SSI.
In the event of an SSI, an SSI report card should be completed and faxed back to SCVS FAO Justine Robertson. Forms are also available to be downloaded by clicking here. Or you can telephone to report or discuss the case.
Thank you in advance for your assistance, we greatly appreciate your help with infection surveillance. We are always happy to discuss any issues you may have regarding surgical infections.
1. CDC Definitions of Nosocomial Surgical Site Infections, 1992: A Modification of CDC Definitions of Surgical Wound Infections. TC Horan, RP Gaynes, WJ. Martone et al Infection control and Hospital Epidemiology 1992; 13: 606-608