CHAPTER 6: Surgical Infections

Learning Objectives: At the end of this chapter, the student will be able to:

I. Define sepsis and Identify the pathogenesis of infection

Table 2-1 Clinical spectrum of infection and SIRS
Table 6-1 now used; more defined
PIRO classification uses clinical plus lab parameters to diagnosis suspected
patients with sepsis

II. Review the extended criteria of SIRS and SOFA

Sepsis 3: Out with Sepsis, in with SOFA (Sequential Organ Failure Assessment)
To prognosticate patients after the basic assessment then clinic findings

III.Identify the methods of prevention and treatment of surgical infection

a. source control
b. proper use of antimicrobial agents

IV. Describe several specific surgical infections

a. surgical site infection
b. intraabdominal infection
c. organ-specific infections
d. nosocomial infections
e. blood-borne pathogens
f. biologic warfares

V. Categorize wound based on bacterial load

a. Clean
b. Clean contaminated
c. Contaminated
d. Dirty
 TABLE OF SPECIFICATION
Topic/
Course Title: 6 – Surgical Infections
No. of Hours
Taught: 6
Type of
Exam: Long Exam
Faculty-In -
Charge:  Dr Dy

LEVELS / SKILLS
Remembering Understanding Thinking
(Analysis/ TOT
(Comprehension/
(Knowledge) Synthesis/ AL
Application)
Evaluation)
SUBTOPICS
Item Item Item
No. No. No. No.
Placeme Placeme Placeme
of of of of
% nt or % nt or % nt or %
Ite Item Item Item
Questio Questio Questio
ms s s s
n No. n No. n No.
Sepsis
SIRS, SOFA 2 42,44
Prevention
Surgical
2 41,43
infections
Wound
6 45-50
categories
TOTAL