Surgical Infections Revised 2008
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The document discusses surgical site infections (SSIs). It notes that SSIs are the third most common nosocomial infection and most frequent cause of infection in surgical patients. It defines the different types of SSIs and lists various patient and operation risk factors that can increase the risk of developing an SSI.
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Surgical Infections Revised 2008
- 1. Surgical Infections Lu Ning, MD Assistant Professor of Surgery
- 13. Cellulitis
- 17. Furuncle
- 18. Carbuncle
- 20. Hiradenitis
- 22. Lymphangitis
- 24. Breast Abscess
- 28. Paronychia An inflammatory reaction involving the folds of the skin surrounding the fingernail. It is characterized by acute or chronic purulent, tender, and painful swellings of the tissues around the nail, caused by an abscess of the nail fold. The pathogenic yeast causing paronychia is most frequently Candida albicans. Saprophytic fungi may also be involved. The causative bacteria are usually Staphylococcus, Pseudomonas aeruginosa, or Streptococcus.
- 29. Felon
- 37. Gas Gangrene
- 40. Necrotizing
- 49. TETANUS
- 54. Risus sardonicus
- 55. Courtesy: Google image on tetanus L ockjaw’s opisthotonos
- 60. Immunization requires at least three doses of Td. 1 st dose should be administered on the First visit 2 nd dose 4 – 8 weeks after the first dose of Td and 3rd dose after 6 months of the second Td. A booster dose of Td should be repeated every 10 years throughout life Persons Seven Years of Age or Older Who Have Not Been Immunized
- 84. Bacterial dose Virulence Impaired host resistance Risk of Infection
- 85. Bacterial dose Virulence Impaired host resistance Risk of Infection
- 86. Virulence Impaired host resistance Risk of Infection Bacterial dose Virulence Impaired host resistance Risk of Surgical Infection Bacterial dose
- 89. SSI – Wound Class vs NNIS Class NNIS. CDC. Am J Infect Control. 2001;29:404-421. Wound Class All NNIS 0 NNIS 1 NNIS 2 NNIS 3 Clean 2.1% 1.0% 2.3% 5.4% N/A Clean contaminated 3.3% 2.1% 4.0% 9.5% N/A Contaminated 6.4% N/A 3.4% 6.8% 13.2% Dirty infected 7.1% N/A 3.1% 8.1% 12.8% All 2.8% 1.5% 2.9% 6.8% 13.0%
- 93. Questions?????