Acute inflammatory swellings Done by Dr Ahmed kamal
Acute inflammatory swellings Done by Dr Ahmed kamal
�Cellulis , Erisiplas , lymphangitis �Erythema , local pain, tenderness and oedema �Fever , chills, malaise, and toxic reaction �Pathogenes �S pyogenes �S auries �S pneumoniae �H influenze �Aerobic and anaerobic gram �Ttt: antibiotic , immobilization , elevation and hygene Types of surgical infections
Types of surgical infection cellulitis , erisiplas, and lymphangitis
�Soft tissue abcesses �Furuculosis, felon, carbuncle �TTT: incision, drainage, antibiotic, hygeine and nutrition Types of surgical infections
Carbuncle
�A) necrotizing fascitis �Steptococcal. gangrene, gas gangrene, fournier gangrene �Mixed aerobic and anaerobic gram negative and gram positive bacteria as well as fungi Necrotizing soft tissue infections
�Elderly �Immunosupressed �Diabetic �Peripheral vascular disease �Common among disease host factors �Compomise of facial blood supply to some degree �Commonly affect the extermities, the perineum, and the trunk Patients at risk
Necrotizing fascitis
�Small break or sinus in the skin from which greyish , turbid semipurulent material can be expressed �Skin changes ( bronze or brawny induration, blebs, or crepitus �Pain at the site of infection �Sepsis or septic shock manifestations
�Debridement or amputation �Reconstruction after control of infection �Antimicrobials against gram positive and gram negative aerobic and anaerobic �Antibiotic therapy can be refined based upon culture and sensitivity results Treatment
�Infection of the tissues, organs or spaces exposed to surgeons during performane of invasive procedure �Ssi are classified into �Incisional A)- Superfical ( limited to skin and sc tissue �B)- deep incisional �Organ and space infection Surgical site infection
�The degree of microbial wound contamination �The duration of the procedure �Host factors such as diabetes , malnutrition obesity and immunosuppression Factors
Thank you � `
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