A systematic review of the ASEPSIS scoring system used in non-cardiac-related surgery

Journal of Wound Care
C J R Siah, Charmaine Childs


To assess the validity, reliability and sensitivity of the ASEPSIS scoring system, used to assess non-cardiac related surgery for surgical wound infection. Five studies were included in this review. One study discussed the development of the ASEPSIS scoring system; two studies were on its reliability, one study on the sensitivity and the final compared the ASEPSIS scoring system against other surgical wound infection criteria and definitions. Due to variation in study designs, the findings were summarised and presented in a narrative format. Validity and reliability were not established in assessing non-cardiac surgical sites. Sensitivity level was reported for non-cardiac surgical sites, but its reliability level declined as the severity of infection worsened. This review revealed that there are limited choices of scoring systems to assess different surgical sites for surgical wound infection. Currently, only the ASEPSIS scoring system is available, but it is not validated for use with non-sternal wounds. Therefore, it should be used cautiously when assessing non-cardiac surgical wound infection.


Feb 22, 1992·BMJ : British Medical Journal·I S BaileyS J Karran
Nov 1, 1990·The Journal of Hospital Infection·A P WilsonM C Kelsey
May 24, 1986·Lancet·A P WilsonM F Sturridge
Aug 1, 1973·Archives of Surgery·P J Cruse, R Foord
May 28, 1983·Lancet·F C WellsC Rowlands
Feb 1, 1980·The Surgical Clinics of North America·P J Cruse, R Foord
Jan 1, 1994·The Journal of Hospital Infection·D J ByrneA Cuschieri
Jun 26, 1998·Annals of Plastic Surgery·M CohenR Shafir
Jul 4, 1998·The Journal of Hospital Infection·A P WilsonG M Scott
Nov 1, 2000·Journal of Quality in Clinical Practice·J C Hall, J L Hall
Sep 10, 2002·Nursing Standard·A Kingsley
Mar 19, 2004·British Journal of Community Nursing·Keith F Cutting, Richard White
Feb 19, 2005·Nature Reviews. Immunology·Peter Parham
Jan 25, 2006·Asian Cardiovascular & Thoracic Annals·Enoch AkowuahGraham Cooper
Feb 19, 2008·Animal Reproduction Science·P L Senger
Apr 17, 2008·Diseases of the Colon and Rectum·Elizabeth C WickJulio Garcia-Aguilar
Aug 13, 2009·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·Benjamin A LipskyMurray A Abramson
Feb 5, 2010·Journal of Gerontological Nursing·Keela HerrKristen Swafford

Related Concepts

Severity of Illness Index
Surgical Wound Infection
Cardiac Surgery Procedures
Research Design
Wound Infection
Injury Wounds
Operative Site
Operative Surgical Procedures

Trending Feeds


Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Alzheimer's Disease: MS4A

Variants within the membrane-spanning 4-domains subfamily A (MS4A) gene cluster have recently been implicated in Alzheimer's disease in genome-wide association studies. Here is the latest research on Alzheimer's disease and MS4A.

Pediculosis pubis

Pediculosis pubis is a disease caused by a parasitic insect known as Pthirus pubis, which infests human pubic hair, as well as other areas with hair including eye lashes. Here is the latest research.

Rh Isoimmunization

Rh isoimmunization is a potentially preventable condition that occasionally is associated with significant perinatal morbidity or mortality. Discover the latest research on Rh Isoimmunization here.

Genetic Screens in iPSC-derived Brain Cells

Genetic screening is a critical tool that can be employed to define and understand gene function and interaction. This feed focuses on genetic screens conducted using induced pluripotent stem cell (iPSC)-derived brain cells. It also follows CRISPR-Cas9 approaches to generating genetic mutants as a means of understanding the effect of genetics on phenotype.

Enzyme Evolution

This feed focuses on molecular models of enzyme evolution and new approaches (such as adaptive laboratory evolution) to metabolic engineering of microorganisms. Here is the latest research.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Pharmacology of Proteinopathies

This feed focuses on the pharmacology of proteinopathies - diseases in which proteins abnormally aggregate (i.e. Alzheimer’s, Parkinson’s, etc.). Discover the latest research in this field with this feed.

Alignment-free Sequence Analysis Tools

Alignment-free sequence analyses have been applied to problems ranging from whole-genome phylogeny to the classification of protein families, identification of horizontally transferred genes, and detection of recombined sequences. Here is the latest research.

© 2021 Meta ULC. All rights reserved