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Dear Brains Trust,
A question has cropped up in relation to seroma and surgical site infections.
If one develops post-surgery, would it be classified as a complication and if it cultured an organism, then and would you class it as a SSI?
Does anyone know of any evidence to support this or not?
Thank you in advance for your wisdom.
Kind Regards,
Holly
Holly Dodd
Infection Prevention and control Clinical Nurse Consultant
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076
Monday- Thursdayp: +61 2 9847 9433 | f: +61 2 9473 8053 | m: +61 408468470 | e: Holly.Dodd@sah.org.au
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Hi Holly
This is from the CDC website, referring to the NHSN definition for SSI:
Surgical Site – Hematomas and Seromas
The fact that wounds can be labeled in various ways by different physicians is the reason that criteria rather than labels or diagnoses are used for SSI determinations. If a wound described as a hematoma or seroma meets an SSI criterion (for example, an organism is identified from a hematoma) it must be reported as an SSI.
https://www.cdc.gov/nhsn/faqs/faq-ssi.html
Hope that helps.Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au[cid:image001.jpg@01D46C86.4CDB6090]
[2019 conference email signature]Dear Brains Trust,
A question has cropped up in relation to seroma and surgical site infections.
If one develops post-surgery, would it be classified as a complication and if it cultured an organism, then and would you class it as a SSI?
Does anyone know of any evidence to support this or not?
Thank you in advance for your wisdom.
Kind Regards,
Holly
Holly Dodd
Infection Prevention and control Clinical Nurse Consultant
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076
Monday- Thursdayp: +61 2 9847 9433 | f: +61 2 9473 8053 | m: +61 408468470 | e: Holly.Dodd@sah.org.au
http://www.sah.org.au[Description: Description: SAH_EntitySignature2017][Description: Description: Description: 5 moments hand hygiene]
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is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
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_____________________________________________________________________
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Oh, and I should have clarified: the seroma would have to be at the incisional site of the surgery, not at a drain or other stab wound or other distal site, to meet the SSI criteria for NHSN.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au[cid:image001.jpg@01D46C86.4CDB6090]
[2019 conference email signature]Hi Holly
This is from the CDC website, referring to the NHSN definition for SSI:
Surgical Site – Hematomas and Seromas
The fact that wounds can be labeled in various ways by different physicians is the reason that criteria rather than labels or diagnoses are used for SSI determinations. If a wound described as a hematoma or seroma meets an SSI criterion (for example, an organism is identified from a hematoma) it must be reported as an SSI.
https://www.cdc.gov/nhsn/faqs/faq-ssi.html
Hope that helps.Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au[cid:image001.jpg@01D46C86.4CDB6090]
[2019 conference email signature]Dear Brains Trust,
A question has cropped up in relation to seroma and surgical site infections.
If one develops post-surgery, would it be classified as a complication and if it cultured an organism, then and would you class it as a SSI?
Does anyone know of any evidence to support this or not?
Thank you in advance for your wisdom.
Kind Regards,
Holly
Holly Dodd
Infection Prevention and control Clinical Nurse Consultant
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076
Monday- Thursdayp: +61 2 9847 9433 | f: +61 2 9473 8053 | m: +61 408468470 | e: Holly.Dodd@sah.org.au
http://www.sah.org.au[Description: Description: SAH_EntitySignature2017][Description: Description: Description: 5 moments hand hygiene]
If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
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_____________________________________________________________________
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MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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______________________________________________________________________
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Hi Holly,
Here is the link to the NHSN Procedure-associated Module surgical site
infection SSI. The definition for Superficial incisional SSI, Deep
incisional SSI and Organ/Space SSI start on page 9https://www.cdc.gov/nhsn/PDFs/pscManual/9pscSSIcurrent.pdf
In Victoria VICNISS collect data on SSI (based on the NHSN surveillance
methods). If you contact them I’m sure they will be happy to share a copy of
their VICNISS SURVEILLANCE MODULE, Surgical Site Infection (SSI), which
includes criteria for defining SSI along with the surveillance methodology.
Might be a useful resource for you.regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Holly Dodd
Dear Brains Trust,
A question has cropped up in relation to seroma and surgical site
infections.If one develops post-surgery, would it be classified as a complication and
if it cultured an organism, then and would you class it as a SSI?Does anyone know of any evidence to support this or not?
Thank you in advance for your wisdom.
Kind Regards,
Holly
Holly Dodd
Infection Prevention and control Clinical Nurse Consultant
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076
Monday- Thursday
p: +61 2 9847 9433 | f: +61 2 9473 8053 | m: +61 408468470 | e:
Holly.Dodd@sah.org.auinformation intended for the addressee named above.
If you are not the intended recipient you are hereby notified that any
dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the
sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual
sender, except where the sender is specifically authorised
by Adventist HealthCare Limited to state that they are the views of
Adventist HealthCare Limited.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.comMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO
NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is
discouraged by ACIPC. If you wish to discuss specific reference to products
or services by brand or commercial names, please do this outside the list.Archive of all messages are available at http://aicalist.org.au/archives –
registration and login required.Replies to this message will be directed back to the list. To create a new
message send an email to acipclist@acipc.org.auTo send a message to the list administrator send an email to
admin@acipc.org.auYou can unsubscribe manually from this list by sending ‘signoff acipclist’
(without the quotes) to listserv@aicalist.org.auMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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