🛡️ Postoperative Surgical Site Infection (SSI) Prevention
Postoperative care plays a crucial role in preventing surgical site infections (SSIs). Early detection, wound management, and patient education are key components of effective SSI prevention after surgery.
🎯 Objectives
- Promote optimal wound healing
- Prevent microbial contamination of the incision site
- Detect early signs of infection
🏥 Key Postoperative Measures
🧽 1. Wound Care
- Keep wound clean, dry, and covered for at least 24–48 hours
- Use aseptic technique for dressing changes
- Avoid topical antibiotics unless specifically indicated
🧪 2. Monitoring for Signs of Infection
- Monitor for:
- Redness, swelling, warmth
- Purulent discharge
- Fever or systemic symptoms
- Use standardized wound surveillance protocols
💊 3. Antibiotic Stewardship
- Do not prolong prophylactic antibiotics beyond 24 hours post-surgery (unless justified)
- Reserve therapeutic antibiotics for documented infections
🚷 4. Drain and Catheter Management
- Remove surgical drains and urinary catheters as early as possible
- Ensure closed drainage systems remain sealed and secure
🧼 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
🧠 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)
🧾 Documentation and Follow-up
- Record wound status in clinical notes
- Schedule dressing changes and suture/staple removal
- Include SSI surveillance in quality control programs
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