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superficial incisional
primary/secondary incision
localized S/S
deep incisional
primary/secondary incision
systemic S/S
organ/space
abscess
designated sites
endocarditis, sinusitis, mediastinitis
prophy
prior to contamination or previously sterile tissue or fluids
may be given along w/abx treating an infection
THINK CLEAN CONTAMINATED/CONTAMINATED
presumptive
suspected infection but not yet proven
CLEAN common microorganisms
S. aureus & coagulase negative staph
clean contaminated
gram negative rods, enterococci, & skin flora
what is the ideal agent for SSI
CEFAZOLIN
key point: cefazolin 3g dose for pts >120 kg
associated w/lower SSI rates
S. aureus colonization
intranasal mupriocin
chlorhexidine baths
take home for SSIs
vanco reserved for life threatening beta lactam hypersensitivity or high resistance (MRSA)