Post surgical infection

Question 1

RF’s

General factors: increased ?, mal-?, ?, ?, obesity, ?, ?.

Answer 1

age
nutrition
malignancy
hypoxia
anaemia
immunosuppression

Question 2

RF’s

Local factors: type of surgery (? vs. ?), ? of procedure, residual local ?, ? ? insertion, ischaemia.

Answer 2

clean v contaminated
length
malignancy
FB

Question 3

RF’s

Microbiological factors: lack of ? ?, ? of the organism.

Answer 3

ABX prophylaxis

virulence

Question 4

SITES

? ? SSI: infection of the skin and subcutaneous tissue of the incision (? common).

Answer 4

superficial incisional

most

Question 5

SITES
? ? SSI: infection also involving deep tissues such as ? / ? layers. This includes organ/space SSls ? through the incision.

Answer 5

deep incisional
mm/fascial
draining

Question 6

SITES
? / ? SSI : infection involving any site involved in the operation other than
the incision.

Answer 6

organ/space

Question 7

Patients who are ? risk of infection, or in whom the risk may be low but the
consequences of an infection would be ?, should be given prophylactic ?;

Answer 7

high
serious
ABx

Question 8

ABX prophx

Operative factors indicating a high risk are ?/? surgeries (e.g. laparotomy), or placement of ? materials.
Patient factors indicating a high risk are ?, previous ? ? implants, ? ? disease or ? ? disease.

Answer 8

dirty/contaminated
foreign
immunosuppression
foreign body
heart valve
peripheral vascular

Question 9

ABX prophx

Choice of antibiotic is determined by likely infecting organisms, and there are
normally hospital guidelines available depending on the type of procedure
and local prevalence of organisms.

? and ? is a combination commonly used in general and ? surgery.

Answer 9

cefuroxime
and metronidazole
orthopaedic

Question 10

ABX prophyx

? and ? factors are important, with the highest tissue concentration required at the moment of tissue ?. This normally means ? administration at the moment of ?.
Often ? further doses are given at appropriate times to complete a ? hour
course.

Answer 10

dose
timing
contamination
IV
incision
two
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