Term
| what is the most common complicaiton of surgerry? |
|
Definition
|
|
Term
what % of patients get SSI?
how mnay days does this add to hopsital stay? |
|
Definition
|
|
Term
| in what wound classificaiton is ABX prophylaxis not indicated |
|
Definition
|
|
Term
| what defines a clean wound |
|
Definition
no deviation from technique
no inflammation or transections |
|
|
Term
| what defines Clean contaminated |
|
Definition
controlled opening in tracts w/ slight break in technique
clean technique used emergently
or major break |
|
|
Term
| what defines contaminated wound |
|
Definition
acute non purulent inflammation
major break durng clean contaminated |
|
|
Term
| patient related factors for SSI |
|
Definition
| age, genetics, nutrition, immune, preop stay, hormones, stress |
|
|
Term
| after surgery risk factor |
|
Definition
|
|
Term
| during surgery risk factors (3) |
|
Definition
duration
techniques used
implant of prosthetic |
|
|
Term
| before surgery risk factors (4) |
|
Definition
| sterilization of materials, preop scrub, prep of skin, prophylaxis abx |
|
|
Term
most common pathogens in the microbiome
exs: |
|
Definition
gram pos cocci
staph epidermidis
s. aureus
enterococcus |
|
|
Term
| most common pthogens in infra-inguinal andn intracavitary |
|
Definition
|
|
Term
| most common pathogens in pharynx, lower GI, and female gential |
|
Definition
|
|
Term
| what general groups of meds cover the prophylaxis goals |
|
Definition
|
|
Term
| what is the most common route for prophyalxis? |
|
Definition
|
|
Term
when do you give most prophylactics?
what meds do you give later? |
|
Definition
1 hr before surgical inscision
vanc and FQ |
|
|
Term
|
Definition
prosthetic
previous IE
cyanotic heart disease
cardiac transplant |
|
|
Term
| cyanotic heart disease is due to |
|
Definition
| interatrial septal defect |
|
|
Term
| when do the people need IE prophylaxis |
|
Definition
dental procedures:
perforation of mucosa
involving the gingivival or periapical teeth |
|
|
Term
| when do high risk patients no need prophylaxis? |
|
Definition
routine aesthic rpocedure
rafiographs
implantin removing device
adjusting orthodontics
shedding of decidous teeth
bleedings from lips, mucosa |
|
|
Term
| IE prophylaxis is no longer reccomndeded for |
|
Definition
|
|
