Wound Classification, Infecton, & Antimicrobial Use Flashcards
How would we classify a wound that was created by surgery, as long as there was no infection encountered, aseptic technique was maintained, and no structure normally containing bacT was opened…?
Clean!
How would we classify a wound created by surgery, but in the case where a minor break in technique occurred or a hollow/viscous/organ normally containing bacT was opened and contents were spilled…?
Clean-contaminated
How would we classify a wound created by surgery, but involved a major break in technique and a hollow viscus is opened with gross spillage, OR a traumatic wound…?
Contaminated
The risk of infection doubles with every ________ of surgery (anesthesia).
[time]
70 min
(1 hour as *general rule of thumb*)
p. 91 Fossum
How long before surgery should you administer prophylactic antibiotics?
30-60 min prior to skin incision
*continued perioperatively, but not longer than 24 hours*
—>Cefazolin 22mg/kg IV q 90-120 min intra-op
p. 93, Fossum
When should therapeutic antibiotics be started and continued for?
Started before surgery and continued for 2-3 days after apparent resolution of infection