Scoring Surgical Site infections
Several different scoring systems have been described that objectively
evaluate wound status or risk of infection. The ASEPSIS (Additional
treatment, Serous discharge, Erythema, Purulent exudates, Separation
of deep tissues, Isolation of bacteria and Stay duration as inpatient)
scoring system was devised in 1986 by Wilson and co-workers in
England (62). This scale can be used to monitor and record the
rate and severity of surgical site infections.
The surgical site is inspected on five of
the first seven days after surgery, and the wound scored is based
on the findings of serous exudates, erythema, purulent exudate and
separation of deep tissue.