Table 1.
Tissue Involved | Timeframe | Symptoms | |
---|---|---|---|
Incisional SSI | |||
Superficial | Skin and subcutaneous tissue | Within 30 days of surgery | One of: -Purulent discharge -Organism cultured from fluid or tissue -Pain, tenderness, swelling, erythema AND opened by surgeon -Diagnosis by surgeon or attending physician |
Deep | Deep soft tissue (ex: fascial plane, muscles) | Within 30 days of surgery OR 1 year with implant |
One of: -Purulent discharge -Spontaneous dehiscence OR opened by surgeon with fever or pain -Evidence on direct examination or radiology -Diagnosis by surgeon or attending physician |
Organ/Space SSI* | |||
Any anatomy manipulated during surgery other than incision | Within 30 days of surgery OR 1 year with implant |
One of: -Purulent discharge from organ space -Organism cultured from fluid or tissue -Evidence on direct examination or radiology -Diagnosis by surgeon or attending physician |
Note: If an organ/space infection communicates with the skin and drains along the incision, this is considered an deep incisional SSI