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who introduced the first anti septic acid? carbonic acid in wounds
Pioneered the source control principle in managing surgical infection
promote wearing of gloves
William Stewart Halsted
conveniently be defined as infections that require operative treatment or result from operative treatment
when do you stop debridement of the wound
when you see capillary bleeding means viable tissue
Surgical Site Infection (SSI)
most common surgical infection after surgical procedure
what is substance in the blood serve as a nutrient for bacteria?
presence of iron
patient underwent anastomoses leak with ananstomoses band, after one week patient develop abdominal distention, fluid coming out in the incision site, xray (+) bowel obstruction, open laparotomy revealed yellow, fibrin formation. identify surgical complication.
two main factors that determine risk of infection
risk of infection - pathogenecity (number of bacteria/host defense
Determinants of Infection
- Microbial pathogenicity and number
- Host defenses (pt)
- The local environment(wound)
- Surgical technique(for postoperative infection)
characteristic of organism to cause infection
characteristic of the organism to cause a disease
one of the commonly associated metabolic disorder that cause more risk of developing infection
important factor/determinant of preventing overwhelming infection
true or false
In the immunocompetent patient whose wound is properly managed, antibiotics are unnecessary and may even be contraindicated.
Local Environmental Factors (wound)
- Extent of contamination
- Tissue devitalization
- Location of wound
- Continuing contamination
- Type of tissues injured
factors that determine risk of infection in organism
number, virulence, type
factors that determine risk of infection in wound
factors that determine risk of infection in the host
- Immune competence
- cell function
- metabolic disorder
the most important factor in determining risk of infection ?
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