Surgical Site Infection Prophylaxis Flashcards
1
Q
Classification of Surgical Procedures
A
2
Q
Risk Factors for Post-Op Wound Infections
A
M
3
Q
Host Factors
A
,
4
Q
Bacterial Contamination
A
K
5
Q
Extremes of age
A
K
6
Q
Exogenous sources:
A
K
7
Q
Nutrition (i.e., malnourished patients)
•
A
K
8
Q
Flaw in aseptic technique
A
K
9
Q
Obesity
A
K
10
Q
Diabetes mellitus (
A
K
11
Q
Immunocompromised
A
J
12
Q
Hypoxemia
A
K
13
Q
Remote infection
A
K
14
Q
Presence of foreign body
A
K
15
Q
Most important except in clean procedures
A
K
16
Q
Patient flora causes infection
A
M
17
Q
Principles of Surgical Prophylaxis
A
J
18
Q
Timing
A
J
19
Q
Dosage
A
J
20
Q
Duration
A
J
21
Q
Spectrum
A
K
22
Q
Adverse Reactions and Bacterial Resistance
A
N
23
Q
Cost
A
J
24
Q
Within 60 minutes before incision
A
K
25
60–120 minutes if using vancomycin or a fluoroquinolone
J
26
Antibiotics should be re-dosed for extended surgical procedures.
M
27
if the surgery lasts longer than 4 hours
J
28
Appropriate dosing
I
29
Cefazolin
I
30
Ceftriaxone
31
Clindamycin
K
32
Vancomycin
J
33
Cardiac procedures may warrant 24 hours of antibiotics after surgery
K
34
GI: Gastric and duodenal
J
35
GI: Biliary
J
36
GI: Appendectomy
J
37
GI: Colorectal
H
38
Obstetrics and gynecology
N
39
Cardiothoracic
J
40
Orthopedic
J
41
Head and neck
J
42
SSI can be categorized as either
F
43
Incisional
S
44
Organ /space
D
45
Incisional SSI can be categorized as
D
46
Superficial
S
47
Deep
D
48
What are the top 5 pathogen would you suspect in SSI
M
49
What is the difference between endogenous and exogenous
D
50
Staphylococcus aureus
D
51
Coagulase negative staphylococcus
S
52
Enterococcus
C
53
E. Coli
C
54
Pseudomonas aerginosa
S
55
What are the two principles that must be considered when providing antimicrobial surgical prophylaxis
D
56
Agent should be delivered to the surgical site prior the initial incision
L
57
Bactericidal antibiotic concentration should be maintained at the surgical site
S
58
What is the optimal time to administer antimicrobial for SSIP
S
59
What is the recommend duration of prophylaxis for most procedure
D
60
What factor may contribute to inappropriate time of administration of SSIP
X
61
When is re dosing of antimicrobial necessary during procedure
C
62
What factor affect choice of antimicrobial
X
63
Antibiotic ordered after the patient arrived to OR
D
64
Delayed antibiotic preparation or delivery
D
65
Use of antibiotic that require long infusion time
D
66
The type of surgical procedure
C
67
The most frequent pathogen seen in procedure
S
68
Safety and efficacy of antimicrobial
S
69
Cost of drug
D
70
Current evidence supports it use
71
What is the preferred route of administration for SSIP
L
72
Parenteral route
D
73
What make cephalosporin the preferred choice for SSIP
D
74
What third generation cephalosporin less favorable Orr SSIP than first generation
X
75
Broad spectrum
D
76
Favorable pharmokinteic
D
77
Low adverse effect
F
78
Low cost
T
79
Their inferior gram positive and anerobes , higher cost
F
