Medicine /Pharm Y2S2 - Surgical Site Infections

Pharm Y2S2 - Surgical Site Infections

Medicine14 CardsCreated about 2 months ago

This deck covers key concepts related to surgical site infections (SSIs), including their classification, prevention, and management strategies.

How often do SSIs occur?

In ~2.6% of all operations - 3rd most common HAI
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Key Terms

Term
Definition
How often do SSIs occur?
In ~2.6% of all operations - 3rd most common HAI
What does CDC classify SSIs into?
Incisional (superficial or deep) Organ space
Where do superficial SSIs occur?
Skin and subcutaneous tissue
Where do deep incisional SSIs occur?
Deep soft tissue, including fascia and muscle
What are organ space SSIs?
abdominal abscesses of peritoneal cavity or infection of the pleural space
What is a clean wound?
doesn’t enter a normally colonised viscus or lumen of the body

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TermDefinition
How often do SSIs occur?
In ~2.6% of all operations - 3rd most common HAI
What does CDC classify SSIs into?
Incisional (superficial or deep) Organ space
Where do superficial SSIs occur?
Skin and subcutaneous tissue
Where do deep incisional SSIs occur?
Deep soft tissue, including fascia and muscle
What are organ space SSIs?
abdominal abscesses of peritoneal cavity or infection of the pleural space
What is a clean wound?
doesn’t enter a normally colonised viscus or lumen of the body
What is clean contaminated wound?
seen when a procedure enters colonised viscus or cavity of the body but under elective and controlled circumstances
What is a contaminated wound?
contamination present at the surgical site before any obvious infection
What is a dirty wound?
infection already present. E.g. abdominal exploration for acute bacterial peritonitis
How can the incidence of SSIs be reduced?
surveillance prophylactic antibiotics asepsis preparations of incision site warming oxygenation glucose control
When should antibiotic prophylaxis be given?
To patients prior to: clean surgery involving prosthetics or implant clean-contaminated surgery contaminated surgery
When shouldn’t antibiotic prophylaxis be given?
In clean, non-prosthetic uncomplicated surgery
What should be used to remove hair?
clipper and not razors as they damage skin and increase the risk of SSIs.
What is used as SS antiseptics?
Chlorhexidine alcohol - Povidone iodine