Wound classification

Question 1

4 types of Wounds

Answer 1

1) clean
2) clean-contaminated
3) contaminated
4) dirty

Question 2

Clean Wound

Answer 2

surgically created wound

Question 3

Clean-contaminated wound

Answer 3

surgically created wound but…

a) hollow viscus or organ normally containing bacteria but no contents spilled
b) minor break in technique

Question 4

Contaminated

Answer 4

surgically created but..

a) gross spillage of organ
b) major break in technique
c) traumatic wound

Question 5

Dirty

Answer 5

contain pus or contents of perforated hollow viscus

Question 6

Goal of aseptic technique

Answer 6

Minimize the incidence of surgical wound infection

Question 7

Risk of infection doubles with every ___ minutes of surgery

Answer 7

70-90 minutes

Question 8

Infection= (3 things)

Answer 8

presence of purulent drainage
abscess
fistula

Question 9

Infection occurs when 3 of the following signs at the same time

Answer 9

redness
swelling 
pain 
heat 
serous discharge 
wound dehiscence

Question 10

3 major risk factors of surgery

Answer 10

1. duration of surgery
2. increasing number of persons in operating room
3. dirty surgical site

Question 11

Most common source of operative wound infection

Answer 11

Patient’s endogenous flora

Question 12

When should prophylactic antibiotics be administered prior to surgery?

Answer 12

30-60 minutes PRIOR

Question 13

How often should antibiotics be administered intraoperatively/

Answer 13

Q 90-120 minutes

Question 14

Dose IV of specific antibiotic given during op

Answer 14

cefazolin

22 mg/kg