SURGICAL INFECTION

DR SARAVANAKUMAR
 HISTORY
EGYPTIANS
GREEKS HIPPOCRATES
ROMANS GALEN LAUDABLE PUS
19TH CENTURY KOCHS , LOUIS PASTEUR
The Austrian obstetrician Ignac
Semmelweis- HAND WASHING
JOSEPH LISTER
antibiotic penicillin- Alexander Fleming in
1928
 Kochs postulates proving
whether a given organism is
the cause of a given disease
It must be found in every case
It should be possible to isolate it from
the host and grow it in culture
It should reproduce the disease when
injected into another healthy host
It should be recovered from an
experimentally infected host
 Risk factors for increased risk
of wound infection
Malnutrition
Metabolic disease (diabetes, uraemia,
jaundice)
Immunosuppression (cancer, AIDS,
steroids, chemotherapy and radiotherapy)
Colonisation and translocation in the
gastrointestinal tract
Poor perfusion (systemic shock or local
ischaemia)
Foreign body material
Poor surgical technique (dead space,
haematoma)
DELAYED HEALING STEROID
USE
FAECAL FISTULA
 LOCAL AND SYSTEMIC PRESENTATION
SYSTEMIC SIRS , MODS
SOURCE PRIMARY OR ENDOGENOUS
SECONDARY OR HOSPITAL
ACQUIRED
SSI
Minor SSI
Major SSI
Abscess
Cellulitis leg- streptococcal
Cellulitis face - staph
 Specific wound infections
Gas gangrene
Tetanus
Necrotizing fasciitis
Fourniers gangrene
 Treatment
Prevention
Antibiotic prophylaxis and treatment
Antibiotic policy and guide lines
Effective wound management