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Mnemonics, Simplified Concepts & Thoughts

Surgical Site Infection Risk Factors : Mnemonic

Epomedicine, Jul 25, 2024Jul 25, 2024

Last updated on July 25, 2024

Various types of surgical site infection (SSI) have been defined by CDC.

Surgical Site Infection (SSI) : CDC Definitions Simplified

Patient related factors

Mnemonic: WASHING

1. Weight: Obesity (>20% of ideal body weight)

2. Antibiotic resistant skin flora: MRSA colonization

3. Advancing age

4. Smoking

5. HIV and other immune deficiency conditions

6. Infection coexisting at other sites (UTI, remote site infection)

7. Nutritional status: Malnutrition (<15% BMI, hypoalbuminemia)

8. Glycemic control: Diabetes

Perioperative factors

Mnemonic: OPERATE

1. Operating surgeon

2. Part Preparation

3. Environment

4. Resistant microbials

5. Antibiotic prophylaxis

6. Time of operation & Tissue trauma

7. External items (foreign body in wound like drains)

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PGMEE, MRCS, USMLE, MBBS, MD/MS General SurgeryMicrobiologyOrthopedics

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Epomedicine. Surgical Site Infection Risk Factors : Mnemonic [Internet]. Epomedicine; 2024 Jul 25 [cited 2025 May 30]. Available from: https://epomedicine.com/medical-students/surgical-site-infection-risk-factors-mnemonic/.

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