Table 1.
Distinction
|
Superficial incisional SSI
|
Deep incisional SSI
|
Organ/space infections
|
|
Localization | Subcutaneous tissue and/or skin | Fascial and muscle layers | Organ manipulated during surgery | |
Timing | Within 30 d post-surgery | Within 30 or 90 d post-surgery/1 yr (implant in place) | ||
Diagnosis at least one of the following | ||||
Pain | Yes | Yes | Yes | |
Swelling | Yes | Inconstant | Inconstant | |
Erythema or heat | Yes | Inconstant | Inconstant | |
Purulent drainage | Yes (superficial) | Yes (from deep incision) | No | |
Wound dehiscence | Yes (superficial) | Yes | No | |
Culture | Yes | Recommended | Recommended | |
Abscess | No | Yes | Yes | |
Fever (temperature > 38 °C) | Inconstant | Yes | Yes |
SSI: Surgical site infection.