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DR SARAVANAKUMAR
 EGYPTIANS
 GREEKS – HIPPOCRATES
 ROMANS – GALEN – LAUDABLE PUS
 19TH CENTURY – KOCHS , LOUIS PASTEUR
 The Austrian obstetrician Ignac Semmelweis-
HAND WASHING
 JOSEPH LISTER
 antibiotic penicillin- Alexander Fleming in 1928
 It must be found in every case
 It should be possible to isolate it from the host
and grow it in culture
 It should reproduce the disease when injected
into another healthy host
 It should be recovered from an experimentally
infected host
 Malnutrition
 Metabolic disease (diabetes, uraemia, jaundice)
 Immunosuppression (cancer, AIDS, steroids,
chemotherapy and radiotherapy)
 Colonisation and translocation in the
gastrointestinal tract
 Poor perfusion (systemic shock or local
ischaemia)
 Foreign body material
 Poor surgical technique (dead space,
haematoma)
 LOCAL AND SYSTEMIC PRESENTATION
 SYSTEMIC – SIRS , MODS
 SOURCE – PRIMARY OR ENDOGENOUS
SECONDARY OR HOSPITAL
ACQUIRED
 Gas gangrene
 Tetanus
 Necrotizing fasciitis
 Prevention
 Antibiotic prophylaxis and treatment
 Antibiotic policy and guide lines
 Effective wound management

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Surgical infection

  • 2.  EGYPTIANS  GREEKS – HIPPOCRATES  ROMANS – GALEN – LAUDABLE PUS  19TH CENTURY – KOCHS , LOUIS PASTEUR  The Austrian obstetrician Ignac Semmelweis- HAND WASHING  JOSEPH LISTER  antibiotic penicillin- Alexander Fleming in 1928
  • 3.  It must be found in every case  It should be possible to isolate it from the host and grow it in culture  It should reproduce the disease when injected into another healthy host  It should be recovered from an experimentally infected host
  • 4.  Malnutrition  Metabolic disease (diabetes, uraemia, jaundice)  Immunosuppression (cancer, AIDS, steroids, chemotherapy and radiotherapy)  Colonisation and translocation in the gastrointestinal tract  Poor perfusion (systemic shock or local ischaemia)  Foreign body material  Poor surgical technique (dead space, haematoma)
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  • 7.  LOCAL AND SYSTEMIC PRESENTATION  SYSTEMIC – SIRS , MODS  SOURCE – PRIMARY OR ENDOGENOUS SECONDARY OR HOSPITAL ACQUIRED
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  • 14.  Gas gangrene  Tetanus  Necrotizing fasciitis
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  • 16.  Prevention  Antibiotic prophylaxis and treatment  Antibiotic policy and guide lines  Effective wound management