Surgical site infection

Question 1

What impairs healing of surgical sites more than anythgn

Answer 1

Smoking

Question 2

Principles of enhanced recovery from surgery

Answer 2

Good preparation for surgery (e.g., healthy diet and exercise)
Minimally invasive surgery (keyhole or local anaesthetic where possible)
Adequate analgesia
Good nutritional support around surgery
Early return to oral diet and fluid intake
Early mobilisation
Avoiding drains and NG tubes where possible, early catheter removal
Early discharge

Question 3

Nutrition options post op

Answer 3

Enteral -
Mouth
NG tube
Percutaneous endoscopic gastrostomy (PEG) – a tube from the surface of the abdomen to the stomach
Parenteral - TPN
by central line

Question 4

Prevention of surgical site infection pre surgery

Answer 4

Shower or bath with soap before
Nasal decolonisation with mupirocin

Question 5

When use antibiotic prophylaxis before surgery

Answer 5

Clean surgery - prosthetic or implant
Clean-contaminated surgery
Cotamindated sirgery
DONT use in clean no prosthetic uncomplicated surgery

Question 6

What use to antiseptic skin before surgery

Answer 6

Chlorhexidine
Poviidine ioidne if contraindicated

Question 7

What can use to reduce risk of site infection when stitching

Answer 7

antimicrobial triclosan-coated sutures

Question 8

Post op wound lceaning

Answer 8

Use sterile saline for wound cleansing up to 48 hours after surgery.
Advise patients that they may shower safely 48 hours after surgery.
Use tap water for wound cleansing after 48 hours if the surgical wound has
separated or has been surgically opened to drain pus