2. Wound infections. Symptoms and treatment

Question 1

Classification of cleanliness in surgical wounds

Answer 1

1. Clean wounds - all procedures where GI/billiary tract is intact. Contamination must be from staff or OR
2. Clean-contaminated - secondary to opening of GI/billiary tract. Contamination from endogenous flora of patient
3. Contaminated - occours during gross spillage of GI, contamination may be exo- or endogenous
4. Dirty - surgical wounds with established infection PRIOR to the procedure

Question 2

Anaerobic wound infections

Answer 2

Typically endogenous

Seen in conditions that lowers tissue perfusion

Abscesses and foul smell

Question 3

Clostridial infections

Answer 3

Cellulitis, myositis and myonecrosis