10

Question 1

6 factors found to increase SSI risk in TPLO

Answer 1

1. bodyweight
2. intact male
3. MRSP
4. duration anaesthesia
5. non locking plates
6. placement skin staples

Question 2

Name 3 strategies by the Surgical Care Improvement project to improve SSI

Answer 2

1. Choose appropriate antimicrobial
2. Give at appropriate timing
3. discontinue 24 hours post procedure.

Question 3

SSI rate for all surgical procedures

Answer 3

0.8-5.5

Question 4

SSI rate for all clean procedures

Answer 4

2.4-5.8

Question 5

SSI rate for all clean orthopaedic procedures

Answer 5

7.1

Question 6

SSI rate for all clean contaminated

Answer 6

5.9

Question 7

SSI rate for TPLO

Answer 7

6.6-15.8

Question 8

SSI rate for all dirt

Answer 8

18.1

Question 9

SSI rate for all lap/thoracoscopic

Answer 9

1.7

Question 10

Factors that increase likelihood of SSI

Answer 10

microbial concentration, microbial virulence, tissue viability, foreign material, antimicrobial resistance

Question 11

Factors that decrease risk SSI

Answer 11

systemic and local immunity, peri operative antimicrobials

Question 12

Giving antibiotics more than this time pre op increased rate of SSI

Answer 12

> 100 mins

Question 13

Can an SSI be present if culture negative

Answer 13

yes

Question 14

Risk factors for SSI

Answer 14

duration of surgery
duration of GA
surgical site prep
Method wound closure
comorbidite

Question 15

Peri op antimicrobials are advised in;

Answer 15

contained and dirty procedures
Some clean contaminated
Use of implant
if clean procedure >90 mins