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What are surgical site infections?
Understanding the risks and the role of preventative wound care

SSIs: A common but preventable post-surgical complication

Surgical site infections (SSIs) are among the most frequent healthcare-associated infections globally. According to the World Health Organization (WHO), SSIs affect up to one-third of surgical patients in low and middle-income countries and remain a significant concern in high-resource settings¹. These infections can delay healing, increase patient discomfort, and lead to serious complications.

The impact of SSIs on patients and healthcare systems

SSIs are associated with:

  • Extended hospital stays
  • Increased use of antibiotics
  • Higher rates of readmission and reoperation

The WHO estimates that SSIs contribute significantly to postoperative morbidity and healthcare costs, making prevention a clinical and economic priority¹.

Risk factors for SSIs

Many factors increase the likelihood of developing an SSI, including:

  • Patient-related: diabetes, obesity, smoking
  • Procedure-related: wound contamination, surgery duration
  • Post-operative care: dressing choice and wound hygiene

Among these, wound care practices are a controllable factor that play a critical role in infection prevention.

Established strategies for SSI prevention

Preventing surgical site infections (SSIs) requires a multi-phase approach that begins before the first incision and continues well into the recovery period.

Common perioperative best practices include:

  • Sterile surgical technique to maintain a contamination-free environment
  • Prophylactic antibiotics administered at the appropriate time and dosage
  • Antiseptic skin preparation to reduce surface bacteria before incision

While these measures are essential, they primarily address the early stages of surgical care. Post-operative wound care, particularly the selection and management of dressings, is a critical yet often underemphasised factor in ongoing infection prevention. Choosing the right dressing can significantly influence healing outcomes and help reduce the risk of SSIs², especially in the context of rising antimicrobial resistance³.

Dressing being applied by a healthcare professional to a woman's back

The role of bacteria-binding wound dressings in SSI prevention

Dressings help maintain a clean wound environment and protect against external contamination. But not all dressings are created equal. Traditional options like silver dressings or antiseptic-coated materials may contribute to antimicrobial resistance (AMR) when used repeatedly.⁴ 

A recent systematic review and meta-analysis highlighted the effectiveness of DACC-coated wound dressings in reducing the risk of surgical site infections (SSI) within 30 days following a procedure. The findings indicate that these dressings can nearly halve the incidence of SSI during this period.3

Bacteria-binding dressings, such as those using Sorbact® Technology, work by physically binding⁵ and removing bacteria from the wound surface without releasing active substances.

This approach:

  • Reduces bacterial load
  • Supports antimicrobial stewardship
  • Minimises risk of bacterial and fungal resistance development

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