Prevention Of Ssi

Question 1

What is the most important factor for the prevention of SSI

Answer 1

Hand washing

Soap and water And alcoholic skin preparation are equally effective

Question 2

What are the places where contamination can be left behind

Answer 2

Tip of finger
Thumb base
Interdigital spaces

Question 3

What is the duration of hand washing for the 1st time and for subsequent hand washes

Answer 3

1st wash - 3-5mins

Subsequent wash - 2mins

Question 4

When is the patient supposed to take bath before surgery and with what ?

Answer 4

A night before the surgery

With antibiotic solution

Question 5

What is the most effective way of removing the hair before surgery

Answer 5

On table clipping

Question 6

True /false

Shaving is associated with high rates of infection

Answer 6

True

Question 7

How is cleaning of the parts done?

Answer 7

It is cleaned with betadine
Male patient undergoing abdominal surgery -painted from nipples to mid thigh
Female patient- inframamary fold to mid thigh

Question 8

What is the correct way to paint the abdomen and thigh

Answer 8

Abdomen -from medial to lateral

Thigh - from lateral to medial

Question 9

How do u paint the site of incision ?

Answer 9

Circumferentially starting from incision site and going away

Question 10

What is the temperature and humidity of ot to be maintained ?

Answer 10

Temperature 18-22degree

Humidity 50-60%

Question 11

What is the role of oxygen inhalation in a post op patient

Answer 11

It reduces the infection rate

Question 12

True /false

Cleaning of the cavity with antibiotic solution post surgery plays an imp role in prevention of infection

Answer 12

False

Question 13

Has type of anaesthesia got any baring on the infection

Answer 13

No

Question 14

What are the 2 scoring systems for sepsis

Answer 14

1. Asepsis score

2. southampton wound score

Question 15

What is the type of collagen in early healing

Answer 15

Type 3

Question 16

What is healing by tertiary intention

Answer 16

There is wound 
            |
Open the wound 
            |
Drain the pus 
            |
Dress it 
            |when granulation tissue occurs 
Resuture it