Orthonotes
Orthonotes
by the.bonestories
v3.0 Fusion
v3.0 Fusion
general topic hub

Sepsis and Surgical Site Infection — Bundle

SSI prevention bundle: preop optimization (glucose, smoking cessation), skin prep with alcohol‑chlorhexidine, timed antibiotic prophylaxis, normothermia, OR traffic control. Sepsis: life‑threatening organ dysfunction due to dysregulated host response to infection; recognize early using SOFA/qSOFA. Management: early cultures + broad‑spectrum antibiotics + source control (debridement, washout), hemodynamic resuscitation with crystalloids and vasopressors as needed. Open fractures: early IV antibiotics, urgent debridement, fixation strategy integrated with contamination grade.

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SSI prevention bundle: preop optimization (glucose, smoking cessation), skin prep with alcohol‑chlorhexidine, timed antibiotic prophylaxis, normothermia, OR traffic control. Sepsis: life‑threatening organ dysfunction due to dysregulated host response to infection; recognize early using SOFA/qSOFA. Management: early cultures + broad‑spectrum antibiotics + source control (debridement, washout), hemodynamic resuscitation with crystalloids and vasopressors as needed. Open fractures: early IV antibiotics, urgent debridement, fixation strategy integrated with contamination grade.
MCQs

High-yield practice questions

Start topic quiz
Question 1

What is the primary purpose of the SSI prevention bundle in orthopaedic surgery?

Question 2

Which of the following is NOT part of the Sepsis Six bundle?

Question 3

What does a qSOFA score of 2 or more indicate?

Question 4

In the context of sepsis management, what is the significance of measuring serum lactate?

Question 5

Which of the following statements about antibiotic prophylaxis in orthopaedic surgery is true?

Question 6

What is the first step in the management of an open fracture with suspected infection?

Question 7

What is the correct fluid resuscitation strategy in the early management of septic shock?

Question 8

Which of the following best describes septic shock?

Question 9

What is the role of normothermia in the SSI prevention bundle?

Question 10

For patients at risk of sepsis, which of the following factors is NOT assessed in the qSOFA scoring system?