Wound Management

Question 1

At what level of bacteria does the potential for infection significantly increase

Answer 1

Bacterial level is greater than 10^5/gm

Question 2

How does virulence effect infection potential?

Answer 2

With increased virulence infection can occur with fewer organisms

Question 3

How does host resistance effect infection potential?

Answer 3

If a patient has decreased resistance they can become infected by fewer numbers of bacteria

Question 4

Why is it better to use the rapid slide technique over quantitative cultures when determining the presence of wound infection

Answer 4

Quantitative cultures take too long, which would delay treatment

Question 5

What are the steps of the rapid slide technique (1 hour) 5

Answer 5

1. Tissue biopsy
2. Weight in grams
3. Homogenize
4. Dry
5. Stain

Question 6

_________ antibiotics are more effective than _______ antibiotics because they

Answer 6

Systemic
Topical

Question 7

Other than sterile gauze and water. What is a great wound protector to use during hair clipping

Answer 7

Sterile Water soluble lube (fill wound with and flush after)

Question 8

Any antimicrobial applied to a wound should be water miscible. What is Dr. Olsen’s favorite

Answer 8

Silver sulfadiazine

Question 9

IPF (infection potentiating factors) can be very difficult to remove from a wound. What are two examples

Answer 9

Highly charged particles from organic debris or soil

Question 10

Extrinsic debris can be imbedded deeply requiring _________ or __________ to locate and identify

Answer 10

Radiographs or ultrasound