Prevention of Infection

Question 1

Surgical Site Infection Defined

Answer 1

Within 30 days of surgery w/o implant

Within 1 year if prosthetic implant

Question 2

Pt Specific RF

Answer 2

Very young/old
Malnutrition/obesity
Tobacco
Uncontrolled hyperglycemia
Immunosuppresed
Extended preop stay
Colonization 
Concurrent infxn

Question 3

Procedure Specific RF

Answer 3

Inexperience surgeon
Poor technique
Longer procedure time
Contamination
Non-sterile instruments
Suboptimal prep

Question 4

Define Prophylaxis

Answer 4

Prior to contamination of previously sterile tissues

Question 5

Define Presumptive

Answer 5

Looks like an infection but not 100%

Question 6

Indication for prophylaxis

Answer 6

Foreign body implant
Infection with severe consequences
Surgeries with high infxn rate

Question 7

Cardiac
Orthopedic
Vascular Prophylaxis

Answer 7

Cefazolin

Cefuroxime (cardiac only)

Question 8

Appendectomy Prophylaxis

Answer 8

Cefoxitin
Cefotetan
Cefazolin + metro

Question 9

Colorectal Surgery Prophylaxis

Answer 9

Ceftriaxone/Cefazolin + Metro

Question 10

Administer 1 hr to incision

Answer 10

Abx

Question 11

Administer 2 hrs to incision

Answer 11

Vanc or FQ

Question 12

> 3 Hr Surgery Re-dose every

Answer 12

2 half lives

Question 13

Stop prophylaxis when?

Answer 13

24 hrs

48 for cardiothoracic

Question 14

Prophylaxis recommended when?

Answer 14

Dental with gingival
Invasive respiratory
Surgical with infected skin