Nihon rinsho. Japanese journal of clinical medicine
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Surgical site infection(SSI) is any infection originating in surgical wounds or the organs/spaces opened or manipulated during an operative procedure, and it is the most common postoperative complication. The definition of SSI is clearly standardized in the Centers for Disease Control and Prevention(CDC) guidelines. ⋯ Preventative measures for SSI, such as pre-, intra-, and postoperative infection control, are described in detail in the CDC guidelines. It is not an overstatement to say that how well SSI is controlled is the conclusive factor in good postoperative results.
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The Committee for Prevention of Nosocomial Infection organized by national university hospitals has developed guideline for preventing hospital acquired infections. This was developed after intensive and systematic reviews of the existing scientific papers, followed by a consensus meeting with presence of the infection control specialists. The guideline consisted of following categories: standard precaution, causality organism, urinary tract infection, ventilator associated pneumonia, surgical site infection, catheter related bloodstream infection, and accidental contamination by needles. We also plan to evaluate the effectiveness of this guideline, and continue to update it by our consistent review of scientific papers.
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Methicillin-resistant Staphylococcus aureus and vancomycin-resistant enterococci are major hospital pathogens in hospital settings. These organisms are mainly transmitted by direct skin contact with infected/colonized patients. ⋯ Screening patients for MRSA and VRE can be restricted against those in/from the high risk areas. The clinical pictures, methods for screening and the precautions were also discussed based on the nature of communicability in both pathogens.