Recurrent Infection

First of all, having a better understanding of different ostomy types and the meaning of their locations will help me know how to educate my patients and anticipate their needs. For example, knowing what nutrients might be lacking with an ileostomy, as well as which ones may be helpful in caring for a urostomy, will allow me to better care for my patients. I will be able to teach them how to maintain adequate nutrition following discharge. After learning what to watch for and how to prevent skin breakdown and infection around stomas, I will be sure to keep peristomal skin clean and dry without using soap around the immediate area. I would have used soap prior to reading this article. I will be able to assess and care for the potential skin problems Schreiber addressed. If I make sure to monitor for things like irritation, bleeding, and skin stripping, I will decrease my patient’s risk for infection related to the ostomy. Teaching the patient how to monitor for these conditions, keep the skin clean, and empty the ostomy independently will also be a high priority. I will want to make sure the patient has retained the education and is comfortable going home with an ostomy if he or she is able. In addition, I hope to also encourage my patients to ask questions and discuss any concerns related to self-image and usual physical

Kept the area affected clean and dry. To prevent further complications and to assist body’s natural process of repair. A moist skin could lead to skin breakdown.

Although many steps are necessary to prevent Surgical Site Infections, one important step is the use of perioperative antiseptics, which will be considered in detail below. According to the 2016 Surgical Site Infections guidelines from the World Health Organization, “SSI is the most common healthcare associated infection among surgical patients with 77% of patient deaths reported to be related to infection”.

To gain further support and approval, presentation to the organization would include previous cases of surgical site infections, factors influencing the problem, number of infections, and a well-documented way forward. Promotion of the good course for minimization of the problem among fellow staff would help pass the idea to the entire structure of the society. Fellow staff would understand the need to enhance human safety through limiting chances of surgical site infections. This

Surgical Care Improvement Project has promoted many core measures to prevent SSI, one of the core measure is the selection of appropriate antibiotic and timing of antibiotic prophylaxis (Anderson D. , 2014). Ideally the antibiotic in the patient’s tissue should be at the highest level at the time of skin incision (Anderson D. , 2014). Recommended antibiotic should be completely infused 30 to 60 minutes before skin incision, this helps in optimizing adequate tissue levels at the time of initial skin incision (Anderson & Sexton, 2015). Anderson &

Surgical site infections (SSIs) are the most common nosocomial infections among surgical patients and the second or third most frequent hospital acquired infections in general hospitals (1). SSIs cause destruction of tissue, pain, scars, and fail in wound healing and increasing risk of morbidity in surgical patients(2). The susceptibility data collected in some study suggested that some antibiotic agents can be ineffective against the common bacterial pathogens isolated from SSIs. However the inappropriate administration of antimicrobials in preoperative prophylaxis is still a problem(3). Among antibiotic resistance organisms MRSA, is an increasing important nosocomial pathogen that causes SSIs and complicates treatment for these infections(4).

Closed-incision negative-pressure (ciNPT) therapy dressings were used in 30 cases and anti-microbial dressings (AMDs) were used in 108 (Cooper & Bas 2015).

Before the discharge from the hospital, a patient is advised to keep their wounds clean and visit the doctors

Oral hygiene should be maintained with antiseptic mouthwash, a diluted hydrogen peroxide rinse, or both. Routine surgical wound care includes regular cleaning of suture lines to minimize crust formation. Hydrogen peroxide solution is helpful for atraumatic removal of sutures. Cutaneous suture lines should be cared for in the typical postoperative fashion by routinely cleansing with 1:1 hydrogen peroxide and water mixture followed by the application of antibiotic ointment.

SHEA released an updated guideline on SSI prevention that includes several recommendations not found on CHOG’s policy. The first recommended intervention is to screen and identify all surgical patients who are S. aureus nasal carriers. According to Barnard (2002), studies have shown that most SSIs are caused by the patient’s endogenous infection (own bacterial flora) of which, 20% is caused by S. aureus strain. According to Van Rijen, Bode, Baak, Kluytmans, and Vos (2012), about 20-50% of the population are S. aureus nasal carriers. Moreover, Van Rijen et al. (2012) adds that S. aureus nasal carriage is now considered a predisposing factor for future infections in different patient populations (i.e. dialysis patients, patients with intravascular devices, surgical patients, and patients who are admitted to the intensive care unit [ICU]).

In the operative phase, effective prevention and control system within the operating theatre is important as it helps in guaranteeing that any patient who undergoes surgery receives safe and effective care (Porteous and Susanne 50). The financial and personal consequences that would come from hospital-acquired infections are rather enormous and thus healthcare practitioner work to limit the likelihood of their occurrences within the operating theatre (Haugen 279). The theatre practitioner must minimize the chances of the risks occurring during surgery and giving the patient the professional and efficient care that they require by following infection control procedures (McKean 104).

The patient’s skin integrity must be assessed on an ongoing basis. John was assessed numerous times throughout the days for pressure areas, oedema, and skin integrity surrounding the stoma and midline surgical incision. The surgical incision had a lower sinus which was being packed with betadine wick as per surgical team. The patient was seen by TVN and in conjunction with the surgical consultant a vac dressing was placed in situ for the midline sinus. The surgical transferring ward were aware of same and competent in the care of surgical wounds and stoma care.

Infectious complications are commonly encountered following ORIF (Open reduction and internal fixation) ever since it has been adopted as a treatment modality for maxillofacial fractures. Early detection of infection can be difficult in the postoperative phase as many signs and symptoms may actually mimic a SIRS (Systemic inflammatory response syndrome).

Wound healing is a very important aspect of the postoperative process. Depending on many different factors pertaining to a postoperative wound; different steps can be taken to decrease a patient’s chance to develop an infection. The one goal a surgical team wants to achieve is to leave a less noticeable scar and no infection in a wound. There are different challenges and situations a Surgical Technologist and the surgical will have to work around. The wound healing process all depends on the type of wound and classification, complications that may arise, postoperative infections, and the role of the Surgical Technologist within the wound healing process.

It can effect the wound healing capability and therefore must be taken into consideration if preprosthetic surgery is planned.