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Infection > Surgical Site Infection Prophylaxis > Flashcards

Surgical Site Infection Prophylaxis Flashcards

1
Q

Classification of Surgical Procedures

A
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2
Q

Risk Factors for Post-Op Wound Infections

A

M

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3
Q

Host Factors

A

,

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4
Q

Bacterial Contamination

A

K

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5
Q

Extremes of age

A

K

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6
Q

Exogenous sources:

A

K

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7
Q

Nutrition (i.e., malnourished patients)
•

A

K

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8
Q

Flaw in aseptic technique

A

K

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9
Q

Obesity

A

K

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10
Q

Diabetes mellitus (

A

K

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11
Q

Immunocompromised

A

J

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12
Q

Hypoxemia

A

K

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13
Q

Remote infection

A

K

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14
Q

Presence of foreign body

A

K

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15
Q

Most important except in clean procedures

A

K

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16
Q

Patient flora causes infection

A

M

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17
Q

Principles of Surgical Prophylaxis

A

J

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18
Q

Timing

A

J

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19
Q

Dosage

A

J

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20
Q

Duration

A

J

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21
Q

Spectrum

A

K

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22
Q

Adverse Reactions and Bacterial Resistance

A

N

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23
Q

Cost

A

J

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24
Q

Within 60 minutes before incision

A

K

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25
Q

60–120 minutes if using vancomycin or a fluoroquinolone

A

J

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26
Q

Antibiotics should be re-dosed for extended surgical procedures.

A

M

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27
Q

if the surgery lasts longer than 4 hours

A

J

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28
Q

Appropriate dosing

A

I

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29
Q

Cefazolin

A

I

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30
Q

Ceftriaxone

A
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31
Q

Clindamycin

A

K

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32
Q

Vancomycin

A

J

33
Q

Cardiac procedures may warrant 24 hours of antibiotics after surgery

A

K

34
Q

GI: Gastric and duodenal

A

J

35
Q

GI: Biliary

A

J

36
Q

GI: Appendectomy

A

J

37
Q

GI: Colorectal

A

H

38
Q

Obstetrics and gynecology

A

N

39
Q

Cardiothoracic

A

J

40
Q

Orthopedic

A

J

41
Q

Head and neck

A

J

42
Q

SSI can be categorized as either

A

F

43
Q

Incisional

A

S

44
Q

Organ /space

A

D

45
Q

Incisional SSI can be categorized as

A

D

46
Q

Superficial

A

S

47
Q

Deep

A

D

48
Q

What are the top 5 pathogen would you suspect in SSI

A

M

49
Q

What is the difference between endogenous and exogenous

A

D

50
Q

Staphylococcus aureus

A

D

51
Q

Coagulase negative staphylococcus

A

S

52
Q

Enterococcus

A

C

53
Q

E. Coli

A

C

54
Q

Pseudomonas aerginosa

A

S

55
Q

What are the two principles that must be considered when providing antimicrobial surgical prophylaxis

A

D

56
Q

Agent should be delivered to the surgical site prior the initial incision

A

L

57
Q

Bactericidal antibiotic concentration should be maintained at the surgical site

A

S

58
Q

What is the optimal time to administer antimicrobial for SSIP

A

S

59
Q

What is the recommend duration of prophylaxis for most procedure

A

D

60
Q

What factor may contribute to inappropriate time of administration of SSIP

A

X

61
Q

When is re dosing of antimicrobial necessary during procedure

A

C

62
Q

What factor affect choice of antimicrobial

A

X

63
Q

Antibiotic ordered after the patient arrived to OR

A

D

64
Q

Delayed antibiotic preparation or delivery

A

D

65
Q

Use of antibiotic that require long infusion time

A

D

66
Q

The type of surgical procedure

A

C

67
Q

The most frequent pathogen seen in procedure

A

S

68
Q

Safety and efficacy of antimicrobial

A

S

69
Q

Cost of drug

A

D

70
Q

Current evidence supports it use

A
71
Q

What is the preferred route of administration for SSIP

A

L

72
Q

Parenteral route

A

D

73
Q

What make cephalosporin the preferred choice for SSIP

A

D

74
Q

What third generation cephalosporin less favorable Orr SSIP than first generation

A

X

75
Q

Broad spectrum

A

D

76
Q

Favorable pharmokinteic

A

D

77
Q

Low adverse effect

A

F

78
Q

Low cost

A

T

79
Q

Their inferior gram positive and anerobes , higher cost

A

F

Infection (15 decks)

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