Infection

Question 1

Types

Answer 1

Surgical site infec
Post op resp infec
UTI
Bacteraemia
AB rel diarrhoea eg C diff

Question 2

Surgical site

Answer 2

48-72hr for wound seal
Sealed if dry
Dont expose wound before the unlpess have to
Mostly due to pt own bacteria
Conseqs- morb and mort, incr hosp stay, cost, septacaemia, organ fail
Pre op preven- shower bef, hair remov, AB prophylaxis
Intra op preven- skin povidone iodine or chlorhexidine, sterile, cover wound.
Post op preven- leave wound for 72hr, PPE, hand hyg, act on signs, AB cover
Types- superfic SC, deep fascia/musc, organ space
Mx- obs, ix, AB, open and debride.

Question 3

Wound healing facs

Answer 3

DM
Smoking
Nutrition
Alc
Chronic Renal fail
Jaundice
Obesity
Age
Steroid, imm suppression
Chemo, radio

Question 4

Surgical site bacteria

Answer 4

Coag neg staph
Grp D enterococcus
Staph aureus
Candida albicans
E coli
Pseudomonas aeruginosa

Question 5

Op wound classif

Answer 5

Clean
Clean contaminated
Contaminated
Dirty

Question 6

Chest infec

Answer 6

Pain and immobil prev breathing and cough
High risk if resp dis hx
Opiates suppress cough
Mx- physio incl active coughing and AB
ITU and intubat due to infec means cant clear sputum, req suction, maybe trachy

Question 7

UTI

Answer 7

Catheter risk, remove asap and dont use unless req

Question 8

bacteraemia

Answer 8

Often also have SSI

Other causes- cannula, CVP, catheter, UTI, anast breakd or abdo sepsis

Question 9

C diff RFs

Answer 9

AB
65 or older
LT hosp admiss
nursing or care home
underlying illness
imm comprom