INFECTIONS in Surgical Practice
SURGICAL INFECTIONS
In this section, we aim to discuss those infections that present to surgeon because of their PREVLANCE in the population, and may constitute a THREAT to life. 1. STAPHYLACOCCAL INFECTION
1.1 BOILS These are also called furuncles and infections of hair follicles by staphylococci commonly present on the skin.
The infection spreads to tissue around the follicles, and there is a bead of pus formed in the centre.
These are common on the back and can occur in any hair bearing area. Antibiotics may be required if there is cellulitis. Incision may be required. Diabetes should be looked for.
1.2 CARBUNCLE This is the result of neglected boil where the infection has spread to the adjoining hair follicles, dermis and subcutaneous tissue. Usually seen on the back. This is an inflamed indurated mass of skin and subcutaneous tissue with a necrotic surface with visible multiple opening for pus discharge. The patient is usually diabetic.
TREATMENT Antibiotic is administered after sensitivity of the organism is obtained by culture. Incision under General Anaesthesia under antibiotic cover the large central necrotic mass needs to be removed.
1.3 ABSCESS
Any surgical infection that ends in necrosed tissue and collection of pus in the the inflammed area is an abscess. Soft tissue abscess occur in skin (boils, carbuncle), breast, perianal and ischio-rectal regions.
Paronycia (felon) occur in the finger, most of these infections are due to S. Aureus and require antibiotics. All these need to be incised.
Deep rooted abscess i.e in brain, lungs, liver, pancreas can occur by haemotogenic spread
These are a serious complication in surgical infection.
Intraabdominal abscess are a result of disease of bowel leading to a leak and spread of infection to the peritoneum. All these abscesses require identifcation through imaging techniques (ultrasound, Xray and CT) antibiotics and drainage will be required.
Any questions be sent to drmmkapur@gmail.com
SURGICAL INFECTIONS
In this section, we aim to discuss those infections that present to surgeon because of their PREVLANCE in the population, and may constitute a THREAT to life. 1. STAPHYLACOCCAL INFECTION
1.1 BOILS These are also called furuncles and infections of hair follicles by staphylococci commonly present on the skin.
The infection spreads to tissue around the follicles, and there is a bead of pus formed in the centre.
These are common on the back and can occur in any hair bearing area. Antibiotics may be required if there is cellulitis. Incision may be required. Diabetes should be looked for.
1.2 CARBUNCLE This is the result of neglected boil where the infection has spread to the adjoining hair follicles, dermis and subcutaneous tissue. Usually seen on the back. This is an inflamed indurated mass of skin and subcutaneous tissue with a necrotic surface with visible multiple opening for pus discharge. The patient is usually diabetic.
TREATMENT Antibiotic is administered after sensitivity of the organism is obtained by culture. Incision under General Anaesthesia under antibiotic cover the large central necrotic mass needs to be removed.
1.3 ABSCESS
Any surgical infection that ends in necrosed tissue and collection of pus in the the inflammed area is an abscess. Soft tissue abscess occur in skin (boils, carbuncle), breast, perianal and ischio-rectal regions.
Paronycia (felon) occur in the finger, most of these infections are due to S. Aureus and require antibiotics. All these need to be incised.
Deep rooted abscess i.e in brain, lungs, liver, pancreas can occur by haemotogenic spread
These are a serious complication in surgical infection.
Intraabdominal abscess are a result of disease of bowel leading to a leak and spread of infection to the peritoneum. All these abscesses require identifcation through imaging techniques (ultrasound, Xray and CT) antibiotics and drainage will be required.
Any questions be sent to drmmkapur@gmail.com
All earlier posts are stored in archives for your access and review.
Visitors that follow the site may post contributions to the site.
Service providers(hospital staff & nurses) visit http://www.drmmkapur.blogspot.com/
Click on image to see details
No comments:
Post a Comment