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Flashcards in Surgical Site Infections Deck (16):
1

How often do SSIs occur?

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

2

What does CDC classify SSIs into?

Incisional (superficial or deep)
Organ space

3

Where do superficial SSIs occur?

Skin and subcutaneous tissue

4

Where do deep incisional SSIs occur?

Deep soft tissue, including fascia and muscle

5

What are organ space SSIs?

abdominal abscesses of peritoneal cavity or infection of the pleural space

6

What is a clean wound?

doesn't enter a normally colonised viscus or lumen of the body

7

What is clean contaminated wound?

seen when a procedure enters colonised viscus or cavity of the body but under elective and controlled circumstances

8

What is a contaminated wound?

contamination present at the surgical site before any obvious infection

9

What is a dirty wound?

infection already present. E.g. abdominal exploration for acute bacterial peritonitis

10

How can the incidence of SSIs be reduced?

- surveillance
- prophylactic antibiotics
- asepsis
- preparations of incision site
- warming
- oxygenation
- glucose control

11

When should antibiotic prophylaxis be given?

To patients prior to:
1. clean surgery involving prosthetics or implant
2. clean-contaminated surgery
3. contaminated surgery

12

When shouldn't antibiotic prophylaxis be given?

In clean, non-prosthetic uncomplicated surgery

13

What should the choice of antibiotics be based on?

Local antibiotic formulary and consideration should be given to potential ADRs when choosing them for prophylaxis

14

What should be used to remove hair?

clipper and not razors as they damage skin and increase the risk of SSIs.

15

What is used as SS antisepsis?

- Chlorhexidine alcohol
- Povidone iodine

16

What have WHO launched/

a guideline to provide a safety checklist for surgical teams to use in operating theatres