Infectii chirurgicale

Antibioterapia preoperatorie
- reduce ratade Leyte de
detmgrijire
dimti.aco-sturitor.arisouluidespitalizaresia-mortah.
ummmm :tiTm to
cu1@aimain1edeoperqtielrrmrnrrd.t
'
-
Idota

Qgivanaermicima mecesitaadmimistrareadea
-

lunged at -

2orepreoperato-mloo.be
-
minute )

do-zesuplirmentareDA-oidurataepergtieidepoige.ge de2±
-

tirmpul detmjum.at AB

po-stoperat-M~24h-O.e u
-
continua'm

④⑤ RAT Salade
op
echipaspiele
,
zy .
Hermie tirotidect
masted
,

.
>
grefoi
.
,

pacient Fortier

•
WMT
Potimiotob Colomizare 5.15% rez.cat#gastricei
&
,

Ft.cBP.com/N-MiNATPolimicr-b.ColcucamIltGitm
omiZarer5-
.

CONTAMINAT -
'

boy .

maaoscop . = intern elective ,

mm

wyatt
•

MURDARA-polinnicro-b.IM/egtiestabilita- 40-501
.
Drenareabces
imtraabd .

Rezegtiaimt.ae/ectat
Infectiile nosocomiale
-

apro-x.si/.dimtrepacienj-ipeparcursulimternarii
-
control ul sursei ,
trat AB
.
adecvatsisustinereaimsuf.de
organ
•
FEB RA •

-
indicator timpani u al dezvoltarii unei imfegtii
-

tprecaa resultatul alelectaziei

Mardi voi
-
inf. de plagal 1 tract urinal ftebita
, ,

abuse
I
- A
Bd⑤ atwnci cand identification
-
-
sursa

• i
NFECFIILE PUIG ILOR •

apro-x.zfy.dimto-ta-imec.ITikr !!
-

superficial 1 protonde
superficial dg clinic celutita locala'
'

* →
,
→ in f. franca
→ AB Cu actperire Gram ⑤ p 0 . .

→ redeschidere
chirurgicala- ( evacuate penance )
febroi
'

*PRdFE →
I leucocitoza
→
mug Chi + f-ascii
→ tedeschidere
ploigitdebridare Chirurgicala-

pe-tdachiar@zafas_ada.imf.sislermicagisepsis-sABiI.cu
→

spectra larg
 int intracaritare seeinga wnui cantrot
inadec
µ
- - → can

sursei decontaminate baderiana

al
-
initiate -
-
imf.imtrato-raa.ee •
→ rare
polimicrobiome
-

•
INFECIIILE INTRA ABDOMINALE
-
•

peritomitadifuza.maiput.im
-

I
•
dehiscenta major a- a wnei anastamaze intest .

•
perforating i vatsarea cent enteric / biliar .

• REINTER VENIIE OBLIGATO RIE !! !

-
abas intra-abdominal :

febra persistenta leuae-cito-2-a.ile.us

'
•

µ
,

•
a- enteric ae contrast → at mai util pt dg
.

• tr :
drenajpermwtmansubco-mtr-limag.TT •

-
durata AB = mum ai malt de④Hee de la Tmcetarea

febreigialeucaatozei
• EMPIEMUL •

to-racoamlezacuex.lichidului
-

cand
suspicionaim
exudat - pH < 7.2

µ gtucoza 60mg Idl

lhipoglicemio
<

LDH n iv. ferric

protein I
-

dg confirmat prin
a- ( coteqtie lo-culata-culimilededemarcat.ie
perifericei )
 •
PNEUMONIA BE VENTILATOR •

-
22% dim totaled inf. nosocomiale
-
10-1 dim ai
.
ai VM au si PAV
prove rare de probe
-
:

bromhoscopie lavaj bron no alveolar ,

periaj brotngic
• → -

br oarba '
mini
egantiomare
lavajbromho-alv.lpt.ci
• . →

)
Ituri oantitative
to
•
2104 (UCF) 1mL →

larajbr.amha -
alr .

periajbro-mgicdeprotestie-ceispitatizat.is
•
2103 LUCF) 1Mt →

He
debact.reziste-ne-trat.AM
5-2 misc Mai mare

72 →

Infectiile comunitare

Infectiile pielii si a tesuturilor moi

1adigitopresiwne@MpaacigrupAcareroipeniua
sp.la
alulita er item ce di
spare
- →

→
pot fi implicqti si stafilotaci

MRSA_ →
paate maraca meoutzatisulara locala-
d.
INTI → celulita ,
fasceita miotita
,

→
urgente care necesitareech.AE#aAB-i.-cu
spectru@gideEirurgic_di1arga_a.tes .

necrotic
→ ÑÑd isproportionatoifa.la '
de expected loziunii A
→ leucocitoza + yippee •

expectrare Chirurgical
→
a-

'

GANG RENA STREPTOCOCIOFNECROTIZANTA

①@
dispareladigit-opresiuneltro-mbo-zasubdemrmic.ci
-
eritem care

)
franca
' '
-

thelone + necro za -

-
deb rid are + Penicillin a#k☒iEna !
Mi¥gEanoRoq÷RfYsaAÑ
→ rata r de mortalitale
→ deb rid are + Penicillin a- ( Clinda ) +
Tigercilima
oxigeno-terapiehiperbara-H.tl
→

Deb rid are

.
drirufareiimchidere primark a ploigii
previne miomeoutza do stridianalcelulifa