SURGICAL INFECTIOUS (Cont..) Wound abscess: Definition: A wound abscess presents all the Celsian clinical features of acute inflammation: .palor (heat), .rubor (redness), .dolor (pain), .tumour(swelling),and .functio leasa (loss of function ) . Causes: Pyogenic organisms, predominantly Staphylococcus aureus, cause tissue necrosis and suppuration. Management: .Surgical incision and drainage. .Abscesses may need debridement and curettage with an exploration. .Ultrasonography,computerised tomography, magnetic resonance imaging and isotope scans are usually accurate and may allow guided aspiration without the need for surgical intervention. . The role of antibiotics in the treatment of wound abscesses is controversial unless there are signs of spreading infection (cellulitis or lymphangitis). .Surgical decompression and curettage must be adequate and may allow resuture without antibiotics but this is also controversial. Delayed primary or secondary suture is safer. QUESTION: Wearing gloves, protective eyewear and a face mask is recommended: A. Only when treating patients that are known to have AIDS B. Only when treating patients that have ANUG C. When treating all patients D. Only when you want to
Posted on: Tue, 02 Dec 2014 08:19:04 +0000