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Flashcards in Post-op infections Deck (42)
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31

What investigations should be sent in surgical site infection?

MCS of pus
FBC (Hb, WCC)
Blood cultures

32

What is the initial management of surgical site infections?

Appropriate ABX guided by microbiologist

33

Why are post-op respiratory infection common?

General anaesthetic irritates the respiratory tract.
Opioid analgesia inhibits cough reflex
Wound pain makes breathing and coughing more difficult

34

How are post-op respiratory infections treated?

Good analgesia post-op
Chest physiotherapy
Antibiotics

35

What is the most likely cause of post-op UTIs?

Catheter insertion

36

How long should a catheter remain in a patient?

Up to 4-5 days

37

How are post-op UTIs prevented?

Avoiding unnecessary catheterisation
Good aseptic technique
Remove at earliest time

38

What is the role of catheters during/after a surgical procedure?

Monitor fluid output to ensure adequate hydration and removal of metabolites.

39

What is the target urine output for the average patient?

0.5 ml/kg/hr

40

Which organism is associated with antibiotic-related diarrhoea

Clostridium difficile

41

Name 3 risk factors for C. difficile infection

Current or recent ABX use
Over 65
Recurrent or prolonged admission
Nursing home
Serious co-morbidites
Immunosuppression

42

Outline the management of C. difficile infection

Isolation
Fluids and electrolytes
Monitor daily
Stop causative ABX
Avoid work/school for 48hr after last episode

Mild: no specific ABX Tx

Mild-moderate: Metronidazole 500mg TDS for 10-14 days

Severe/recurrent: Vancomycin