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Introduction Deep incisional surgical site Infection occurs within 30 days after the operation if no implant 3 is left in place

or within one year if implant is in place and the infection appears to be related to the operation and infection involves deep soft tissues (e.g., fascial and muscle layers) of the incision and at least one of the following: 1. Purulent drainage from the deep incision but not from the organ/space component of the surgical site. 2. A deep incision spontaneously dehisces or is deliberately opened by a surgeon when the patient 3. Has at least one of the following signs or symptoms: fever (>38 C), localized pain, or tenderness, unless site is culture-negative. 4. An abscess or other evidence of infection involving the deep incision is found on direct examination, during reoperation, or by histopathology or radiologic examination. 5. Diagnosis of a deep incisional SSI by a surgeon or attending physician. Notes: 1. Report infection that involves both superficial and deep incision sites as deep incisional SSI. 2. Report an organ/ space surgical incisional infection that drains through the incision as a deep incisional SSI. In 2002, in the United States, an estimated 14 million NHSN operative procedures were performed (CDC unpublished data). SSIs were the second most common healthcare associated infection, accounting for 17% of all HAIs among hospitalized patients. A similar rate was obtained from NHSN hospitals reporting data in 2006-2008 (15,862 SSI following 830,748 operative procedures) (CDC, unpublished data) with an overall rate of nearly 2%. In Philippines, Wound infection represents one of the most common serious complications after surgery, accounting for approximately 5% of women who deliver by cesarean section and 8% of gynecologic surgical hospitalizations. A number of risk factors associated with increased postoperative surgical site infection have been identified. Our study focused in a case of a Deep incision surgical site infection of patient mr.22 A 17 year old male who had appendectomy. This study will enlighten and clarify questions and misconceptions about the disease. It also very helpful especially to the members of health team in rendering quality services to client.

OBJECTIVES OF THE STUDY

GENERAL OBJECTIVES Client Centered To assess the health of the patient To develop, implement, and evaluate plans for health promotion To provide client education and involve patient in implementing therapeutic regimen to promote understanding and compliance. Nurse Centered To apply the nursing process in the care of the hospitalized patient To describe effects of illness on individuals and family members roles and functions SPECIFIC OBJECTIVES Client-Centered Discuss nursing implications for medications commonly prescribed for surgical site infection Describe nursing care for the client Support client and family, and encourage them to ask questions so that information could be clarified and understood Nurse-Centered Identify major risk factors influencing the said condition. Identify the risk factor contributing to the occurrence of the disease. Learn the pathophysiology and manifestations of surgical site infection Identify common diagnostic tests used for the said condition and their nursing implications. Identify and describe nursing measure to promote awareness in the condition

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