Wound site infections are a major source of postoperative illness, accounti
ng for approximately a quarter of all nosocomial infections. National studi
es have defined the patients at highest risk for infection in general and i
n many specific operative procedures. Advances in risk assessment compariso
n may involve use of the standardized infection ratio, procedure-specific r
isk factor collection, and logistic regression models. Adherence to recomme
ndations in the 1999 Centers for Disease Control and Prevention guidelines
should reduce the incidence of infection in surgical patients.