SURGICAL ANTIBIOTIC PROPHYLAXIS

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WOUND CLASSIFICATION • Clean-contaminated – SWI risk (2-10%) – Urgent or emergent case that is otherwise clean, controlled opening of GI, GU, oropharyngeal, biliary, or tracheobronchial tracts, – Minimal spillage and/or minor aseptic technique break – Examples include: - Invasive head and neck surgery, cholecystectomy, urologic procedure, hysterectomy, orthopedic surgery with prosthesis – Antibiotics used for prophylaxis
WOUND CLASSIFICATION • Contaminated – SWI risk (10-20%) – Any procedure in which there is gross soiling of the operative field during procedure, as well as surgery of open traumatic wounds (< 4 hours old). – Examples include: - Colorectal surgery with spillage, biliary or GU tract surgery in the presence of infected bile or urine and clean or clean/contaminated procedures marred by a major break in technique. – Antibiotics used for prophylaxis
Page 1 and 2: SURGICAL ANTIBIOTIC PROPHYLAXIS Ste
Page 3 and 4: INTRODUCTION • Approximately 23 m
Page 5 and 6: INTRODUCTION • Controversies rega
Page 7 and 8: DEFINITIONS • Surgical wound infe
Page 9: WOUND CLASSIFICATION • Clean - SW
Page 13 and 14: IDENTIFIED RISK FACTORS • Inciden
Page 15 and 16: ASA RISK FACTORS Class Description
Page 17 and 18: RISK FACTORS • Surgery related fa
Page 19 and 20: ANTIBIOTICS USE Procedure Open Hear
Page 21 and 22: ANTIBIOTIC USE • Appropriate anti
Page 23 and 24: ANTIBIOTIC SELECTION • Nose - S.
Page 25 and 26: ANTIBIOTIC SELECTION • Cefazolin
Page 27 and 28: ANTIBIOTIC SELECTION • Surgical p
Page 29 and 30: ANTIBIOTIC SELECTION • Bacterial
Page 31 and 32: ANTIBIOTIC USE • Timing of antibi
Page 33 and 34: ENDOCARDITIS PROPHYLAXIS • Patien
Page 35 and 36: SUMMARY • Surgical prophylaxis ca
Page 37 and 38: SUMMARY • Several risk factors co

SURGICAL ANTIBIOTIC PROPHYLAXIS

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