No results found.
Kristy Broaddus, DVM, MS, DACVS, Virginia Veterinary Centers, Fredericksburg, Virginia
Sign in to Print/View PDF
This is a filled error message
To access full articles on www.cliniciansbrief.com, please sign in below.
Create an account for free
Want free access to the #1 publication for diagnostic and treatment information? Create a free account to read full articles and access web-exclusive content on cliniciansbrief.com.
Passwords do not match
Where are you from?
AG|Antigua and Barbuda
BA|Bosnia and Herzegowina
IO|British Indian Ocean Territory
CF|Central African Republic
CC|Cocos (Keeling) Islands
CD|Congo, the Democratic Republic of the
FK|Falkland Islands (Malvinas)
TF|French Southern Territories
HM|Heard and Mc Donald Islands
VA|Holy See (Vatican City State)
IR|Iran (Islamic Republic of)
KR|Korea, Republic of
LY|Libyan Arab Jamahiriya
MK|Macedonia, The Former Yugoslav Republic of
FM|Micronesia, Federated States of
MD|Moldova, Republic of
MP|Northern Mariana Islands
PG|Papua New Guinea
KN|Saint Kitts and Nevis
VC|Saint Vincent and the Grenadines
ST|Sao Tome and Principe
SK|Slovakia (Slovak Republic)
GS|South Georgia and the South Sandwich Islands
PM|St. Pierre and Miquelon
SJ|Svalbard and Jan Mayen Islands
SY|Syrian Arab Republic
TZ|Tanzania, United Republic of
TT|Trinidad and Tobago
TC|Turks and Caicos Islands
AE|United Arab Emirates
UM|United States Minor Outlying Islands
VG|Virgin Islands (British)
VI|Virgin Islands (U.S.)
WF|Wallis and Futuna Islands
DC|District of Columbia
Micronesia (Federated States Of)
US Minor Outlying Islands
Armed Forces Africa
Armed Forces Americas Aa (except Canada)
Armed Forces Canada
Armed Forces Europe Ae
Armed Forces Middle East Ae
Armed Forces Pacific Ap
PE|Prince Edward Island
Tell us about yourself
Choose the category that describes your business/professional activity
What best describes your position? (question 1 of 2)
Veterinarian Role: (question 2 of 2)
Non-Veterinarian Role: (question 2 of 2)
Yes, I would like to receive updates about products & services, promotions, special offers, news & events from Brief Media.
Already have an account? Sign in here.
Acceptance to the GDPR regulations is required.
Surgical site infections (SSIs) are infections present at a surgical site within 30 days of surgery or within a year of surgery if the patient has implants. SSIs can result in increased owner costs and patient morbidity and, although rare, may even result in patient death. The incidence of SSIs may be underestimated by surgeons due to lack of appropriate surveillance and documentation. In human medicine, active surveillance occurs routinely, improving patient outcomes.
This study sought to document the incidence of SSIs that occurred postoperatively at a veterinary teaching hospital via prospective and retrospective means. SSIs from soft tissue, orthopedic, and neurologic surgeries were documented through repeat presentation to the surgeon, pet owner questionnaires, review of medical records, and/or communication with primary veterinarians. The study found that, if the medical record had been the sole source of surveillance, 27.8% (10/36) of infections would have gone unidentified. Active postdischarge surveillance increased known incidence of infection that would have otherwise been missed. Culture testing was not performed in approximately two-thirds of suspected SSIs to confirm infection versus inflammation.
The most effective means of surgical follow-up is direct observation through recheck examination, including culture and susceptibility testing if SSI is suspected. This direct observation occurs frequently with the patient’s primary veterinarian. If an infection is noted by the primary veterinarian, this information should be reported to the surgeon to improve awareness of SSI incidence. With this proactive team approach, infections may be minimized and patient health improved.
Article continues after advertisement
Key pearls to put into practice:
Communication between primary veterinarians and referral centers is critical for optimal patient care.
Culture and susceptibility testing of surgical sites suggestive of infection before administration of antibiotics is warranted to document and treat SSIs. If cost is a limiting factor, compromised patients and patients with implants must be prioritized.
Culture testing allows for identification of the offending bacteria and helps define its prevalence. Through identification of the offending bacteria, SSIs can be accurately classified and managed as nosocomial infections versus infections caused by incisional disruption from patients or lack of owner compliance.
Material from Clinician’s Brief may not be reproduced, distributed, or used in whole or in part without prior permission of Educational Concepts, LLC. For questions or inquiries please contact us.
Clinician's Brief provides relevant diagnostic and treatment information for small animal practitioners. It has been ranked the #1 most essential publication by small animal veterinarians for 9 years.*
*2007-2017 PERQ and Essential Media Studies
It's Free & Simple
Delivered to Your Inbox
Join the Conversation
Follow us @CliniciansBrief
© 2018 Educational Concepts, L.L.C. dba Brief Media ™ All Rights Reserved.