Types Of Wounds

Question 1

What are the different types of wounds ?

Answer 1

There are 4 different types

1) clean
2) clean contaminated (when u enter git without infection)
3) contaminated (when u enter git with infection )
4) dirty wound

Question 2

Chance of SSI in clean wound

Answer 2

<2%

Question 3

SSI in dirty wound ?

Answer 3

> 20%

Question 4

SSI in clean contaminated?

Answer 4

2-10%

Question 5

SSI in contaminated wound ?

Answer 5

10 -20%

Question 6

Give examples of clean wound ?

Answer 6

Thyroid surgery 
Breast surgery 
Uncomplicated hernia surgery 
CABG
Knee replacement

Question 7

Ex of clean contaminated wound ?

Answer 7

When we enter into git and urogenital system with infection not present 
Ex 
Interval cholecystectomy 
Elective appendicectomy
LACS
Removal of stones with no uti 
Bowel surgery in a prepared bowel

Question 8

Ex of a contaminated wound ?

Answer 8

Emergency appendicectomy

Emergency cholecystectomy

Question 9

Ex of a dirty wound

Answer 9

Pus
Peritonitis
*neglected trauma wound for >6hrs

Question 10

Golden period for trauma wound

Answer 10

6 hrs

Question 11

Single shot of prophylactic antibiotics is required in what types of wounds

Answer 11

Clean wound(except for implant/graft )
Clean contaminated wound

Question 12

How many doses of antibiotics do u give in contaminated and dirty wounds ?

Answer 12

We continue the antibiotics in post op period as well

Question 13

True /false

Dirty wounds are taken 1st in OT

Answer 13

False