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By Doctor Saleem
surgical site infections ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Important Definitions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Contd; ,[object Object],[object Object],[object Object],[object Object],[object Object]
Criteria for defining SSIs
 
 
 
Further Classification ,[object Object],[object Object],[object Object],[object Object],[object Object]
Contd; ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Contd; ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Wound assesment ,[object Object],[object Object],[object Object],[object Object]
 
 
Microbiology
Lactobacilli Streptococci Lactobacilli Enterobacteriaceae Aerobic + Anaerobic Microbial Populations
Pathogenesis Virulence Bacterial dose Impaired host resistance
Risk factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Preop factors ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Prophylactic antibiotics ,[object Object],[object Object],[object Object],[object Object],Prophylactic antibiotics indicated Therapeutic antibiotics
Wound Classification Antibiotic PCN Allergy I 1 st  generation Cephalosporin Vancomycin Clindamycin II-Biliary,GU, Upper Digestive 1 st  generation Cephalosporin Vancomycin Clindamycin II-Distal Digestive 2 nd  generation Cephalosporin Aztreonam and Clindamycin/Flagyl III/IV Generally Therapeutic
Once the incision is made, antibiotic delivery to the wound is impaired. Must give before incision! ABX
 
Operative characteristics  ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Postoperative issues ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thankyou

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