Microbiology - Wound, Bone + Joint Infections Flashcards
What is the aetiology of a surgical site infection?
Wound contamination
What are the causative organisms of surgical site infection?
- S. aureus
- E. coli
- Strep
- Pseudomonas
What is the presentation of a surgical site infection?
- Pain
- Swelling
- Failure to Heal
How is a surgical site infection diagnosed?
Clinical + wound swabs
What is the management for a surgical site infection?
Abx
- Flucloxacillin for S. aureus
What is the aetiology for osteomyelitis?
Local or haem spread causes bone infection
What are the causative organisms for osteomyelitis?
- S. aureus
- Strep. spp.
- E. coli
Salmonella in Sickle Cell Anaemia
What is the presentation of osteomyelitis?
- Pain
- Swelling
- Unwell
- Febrile
How is oestomyelitis diagnosed?
- MRI
- Blood culture
- Bone biopsy (for culture/histology)
What is the management for osteomyelitis?
- IV Abx
- Debridement
What is the aetiology of septic arthritis?
Local or haem spread to abnormal joint (e.g. RA) causes joing infection
What are the causative organisms for septic arthritis?
- S. aureus
- Strep
- E. coli
Salmonella in Sickle Cell Anaemia
What is the presentation of septic arthritis?
- Red, hot, swollen joint
- Unwell
- Febrile
How is septic arthritis diagnosed?
- Joint aspirate (MC + S)
- Blood cultures
What is the management for septic arthritis?
- IV Abx
- Drain joint