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)
5.
6.
7. LOCAL AND SYSTEMIC PRESENTATION
SYSTEMIC – SIRS , MODS
SOURCE – PRIMARY OR ENDOGENOUS
SECONDARY OR HOSPITAL
ACQUIRED