Surgical Infections Flashcards
Surgical Technique: Enumerate the use of antibiotics
- Prophylaxis
- Empiric Therapy
- Therapeutic
Duration of use of prophylaxis
Single dose prior or during procedure
Duration of use of empiric therapy
3 to 5 days or less
Duration of use of therapy
Depends if monomicrobial or polymicrobial infection
Duration of therapy for:
> UTI: ___
> Pneumonia: ___
> Bacteremia: ___
> Osteomyelitis / Endocarditis / Prosthetic: ___
> 3 to 5 days
> 7 to 10 days
> 7 to 14 days
> 6 to 12 weeks
Duration of therapy for:
> Penetrating gastro-intestinal trauma with no contamination: ___
> Perforated viscus with no peritoneal soilage:
- Moderate contamination: ___
- Extensive contamination: ___
> Perforated or gangrenous appendicitis: ___
> 10 to 24 hours
> 5 to 7 days
> 7 to 14 days
> 3 to 5 days
What are the indicators for eradication of infection?
> Afebrile
> Normal or decreased WBC
> Normal PMN on smear
> Return of bowel function
Prophylaxis is not needed in what procedures?
> Non-oncologic thyroidectomy / Parotidectomy / Submandibular Gland Excision
> Breast Surgery
> Hernia
> Laparoscopic Cholecystectomy
Most common antibiotic with allergic reactions to patients
Penicillin - 0.7% to 10%
Since skin testing is not recommended anymore for testing allergies, what is opt to be used instead?
Desensitization
Infection of the tissues, organs, or space exposed by the surgeons
Surgical Site Infection (SSI)
