Abstract

Background: Surgical site infections (SSIs) represent a significant global public health challenge, contributing substantially to morbidity, mortality and increased healthcare costs. Effective classification and grading systems are crucial for surveillance, risk stratification and guiding clinical management. The Southampton Wound Grading System offers a standardized approach to categorize postoperative wound complications. Methods: This prospective, observational, analytical study was conducted at a tertiary care teaching hospital in south-western India, involving 1000 consecutive patients undergoing elective surgery at the General surgery unit. Post-operative wound infections were identified and graded according to the Southampton Grading System. Data on SSI incidence and grade distribution were collected. Results: The overall incidence of post-operative wound infections was 12.5% (n=125). A majority of infections were detected on Post-operative Day 7 (52%, n=65), followed by Post-operative Day 3 (27.2%, n=34). According to the Southampton Grading System, Grade I infections were the most prevalent (36%, n=45), followed by Grade II (28%, n=35), Grade III (24%, n=30), Grade IV (9.6%, n=12), and Grade V (2.4%, n=3). Conclusions: The distribution across Southampton grades indicates a predominance of milder infections, yet a notable proportion of severe cases. The Southampton Grading System proved to be a practical and effective tool for categorizing and assessing the severity of SSIs, supporting its utility for clinical surveillance and quality improvement initiatives

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Funding