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Surgical Site Infection (SSI) — Mobile Wound Care

Postoperative wound infection after orthopedic, vascular, abdominal, or cardiac procedures.

What are surgical site infection (ssi)?

Postoperative wound infection after orthopedic, vascular, abdominal, or cardiac procedures.

Signs and symptoms

Common signs and symptoms can vary by wound type and severity.

  • Increasing erythema, warmth, or induration around the incision after postoperative day 3.
  • Purulent drainage from the incision.
  • Wound dehiscence (separation of incision edges).
  • Fever, chills, or rising white blood cell count.
  • Disproportionate or worsening incisional pain.

Risk factors

A clinician evaluates the wound together with the factors that may delay healing.

  • Diabetes mellitus, obesity, and active tobacco use.
  • Prolonged operative time and contaminated or dirty wound classification.
  • Immunosuppression, malnutrition, and hypoalbuminemia.
  • Implant or prosthetic hardware in the wound bed.
  • Postoperative hyperglycemia and uncontrolled comorbidities.

When to seek care

Any postoperative wound with new fever, expanding redness, purulent drainage, or dehiscence should be evaluated within 24 hours. Early recognition prevents progression to deep space or organ-space infection.

How Healix360 coordinates treatment

Healix360 supports access to advanced mobile wound care services for patients throughout our coverage area. Services are delivered by licensed physicians and nurse practitioners experienced in the evaluation and management of chronic and complex wounds, including surgical site infections after discharge. Care is coordinated and provided directly to patients in private residences, assisted living communities, and skilled nursing facilities.

Our clinicians coordinate with the operating surgeon, obtain wound cultures when indicated, manage antibiotic stewardship, and apply appropriate antimicrobial dressings or negative pressure wound therapy. For deeper or dehisced wounds, we use staged debridement, NPWT with instillation when appropriate, and serial photography to track healing trajectory and inform any return-to-OR decisions.

  • infection-management
  • wound-cultures
  • negative-pressure-wound-therapy
  • antimicrobial-silver-dressings
  • sharp-debridement

Prevention and expected outcomes

The majority of superficial and many deep surgical site infections can be managed in the home or skilled nursing setting with antibiotics, debridement, and NPWT, avoiding hospital readmission and preserving any underlying hardware or repair.

  • Optimized perioperative glycemic control (target glucose under 180 mg/dL).
  • Smoking cessation at least 4 weeks before elective surgery.
  • Adherence to postoperative incision care instructions.
  • Prompt reporting of new redness, drainage, or fever to the surgical team.
  • Nutritional optimization with adequate protein intake postoperatively.

Frequently Asked Questions

How soon after surgery can an SSI develop?

Most superficial SSIs appear within 30 days of surgery. Infections involving implants or hardware can present up to 90 days post-op or later.

Will I need to go back to the hospital?

Many SSIs can be managed at home with oral or home-infusion antibiotics, NPWT, and serial debridement. We coordinate with your surgeon and escalate to hospital care only when deep space infection, sepsis, or hardware compromise is suspected.

Will my surgeon be involved?

Yes. We send progress notes and wound photographs to the operating surgeon and follow their preferences regarding antibiotics, drains, and any planned return to the OR.

Can NPWT be used over hardware?

Yes, in many cases NPWT can be safely applied over exposed hardware or grafts when used per manufacturer guidelines and with appropriate interface dressings, but the decision is made jointly with the surgical team.

Is this covered by insurance?

Postoperative wound care for an SSI is typically covered by Medicare Part B, Medicare Advantage, and most commercial plans. We verify benefits before initiating care.

Medical references

Call 877-545-1300 or request a provider to begin care. Healix360 serves Southern California and Nevada and accepts Medicare Part B and most major insurance plans.