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A wound forms when biological tissues like skin, mucous membranes, and organs are damaged. Different injuries can cause wounds; properly cleaning and dressing the wounds is essential to prevent infections and additional harm. The surgical wound classification (SWC) system was initially developed in 1964 by the National Academy of Sciences and the National Research Council. The SWC system was created to represent the bacterial load in a surgical field. The Centers for Disease Control and Prevention (CDC) later refined this system by establishing 4 different classes of wound statuses outlined below. Each class has a postoperative risk of a surgical site infection (SSI) with scores of 1% to 5%, 3% to 11%, 10% to 17%, and more than 27%, respectively.
Kujath P, Michelsen A. Wounds - from physiology to wound dressing. Dtsch Arztebl Int. 2008 Mar;105(13):239-48.
-
PMC
-
PubMed
Wilkins RG, Unverdorben M. Wound cleaning and wound healing: a concise review. Adv Skin Wound Care. 2013 Apr;26(4):160-3.
-
PubMed
Onyekwelu I, Yakkanti R, Protzer L, Pinkston CM, Tucker C, Seligson D. Surgical Wound Classification and Surgical Site Infections in the Orthopaedic Patient. J Am Acad Orthop Surg Glob Res Rev. 2017 Jun;1(3):e022.
-
PMC
-
PubMed
Levy SM, Holzmann-Pazgal G, Lally KP, Davis K, Kao LS, Tsao K. Quality check of a quality measure: surgical wound classification discrepancies impact risk-stratified surgical site infection rates in pediatric appendicitis. J Am Coll Surg. 2013 Dec;217(6):969-73.
-
PubMed