====== ๐Ÿ›ก๏ธ Postoperative Surgical Site Infection (SSI) Prevention ====== Postoperative care plays a crucial role in preventing **[[surgical site infection]]s (SSIs)**. Early detection, wound management, and patient education are key components of effective SSI prevention after surgery. ===== ๐ŸŽฏ Objectives ===== * Promote optimal **wound healing** * Prevent microbial contamination of the incision site * Detect early signs of infection ===== ๐Ÿฅ Key Postoperative Measures ===== ==== ๐Ÿงฝ 1. Wound Care ==== * Keep wound **clean, dry, and covered** for at least 24โ€“48 hours * Use **aseptic technique** for dressing changes * Avoid topical antibiotics unless specifically indicated ==== ๐Ÿงช 2. Monitoring for Signs of Infection ==== * Monitor for: - **Redness, swelling, warmth** - **Purulent discharge** - **Fever** or systemic symptoms * Use **standardized wound surveillance protocols** ==== ๐Ÿ’Š 3. Antibiotic Stewardship ==== * **Do not prolong** prophylactic antibiotics beyond 24 hours post-surgery (unless justified) * Reserve therapeutic antibiotics for **documented infections** ==== ๐Ÿšท 4. Drain and Catheter Management ==== * Remove surgical drains and urinary catheters as **early as possible** * Ensure **closed drainage systems** remain sealed and secure ==== ๐Ÿงผ 5. Patient Hygiene and Education ==== * Instruct patient on: - **Hand hygiene** before touching wound - Signs of infection and when to seek help * Educate about **avoiding self-removal** of dressings or stitches ==== ๐Ÿง  6. Special Considerations in Neurosurgery ==== * Observe for **CSF leakage**, which increases SSI risk * Avoid tension or manipulation over craniotomy/spinal wounds * Ensure follow-up for **wound inspection and imaging** (if required) ===== ๐Ÿงพ Documentation and Follow-up ===== * Record wound status in clinical notes * Schedule dressing changes and suture/staple removal * Include SSI surveillance in quality control programs ---- {{tag:infection_prevention postoperative SSI wound_care patient_education neurosurgery}}