what would be the appropriate therapy for patients who have a surgical wound infection?

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a. penicillin
b. methicillin
c. vancomycin
d. dicloxicillin
It could be wither "c", or "d", depending on the sensitivity of the bacteria.

Penicillin is rarely used for skin infections. "b" is rarely used period.  (+ info)

How do I handle a wound infection after back surgery? I am under my surgeon's care.?

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I developed an infection in the surgical wound in my lower back about a week after surgery. I am now on antibiotics and see the surgeon every 2 - 3 days. The wound is still discharging some blood and yellow or white liquid. Do I need to be very careful of my activities? Is this wound dangerous? Is the fact that it is still bleeding some critical? I am not sure what to think, or whether or not to be worried.
I have had 6 surgeries on my spine and I've only had 1 infection. Just lucky I guess. As long as you are taking the antibiotics you will heal just fine!
FYI, you don't need to see the surgeon about the infection unless it's in your spine! I highly doubt that.  (+ info)

Surgical wound infection.?

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Hi. I had undergone sacrectomy six months ago. Then i recieved radiation therapy. During radiaiton therapy i had a sinus created at the lower site of the surigical site. After radiation therapy it got infected. Then i underwent exploration of the wound and sinus excision. but sitll the infection was there. Then my surgeon opened the wound for secondary closure. Culture and sensitivities were done time to time and i was on antibiotics (for 20 days) and daily dressing change was performed during the hospital stay. Now i am at my home and performing daily dressing change with papain-urea ointment as doc adviced, but the wound healing is not satisfactory. The wound is very deep and and wide, approximately 2.5 inch wide and 3 inch deep. Is there any other medical option.....?
  (+ info)

What is the management for surgical wound infection (deep space).?

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Hi guys, I had undergone sacrectomy for removal of a giant cell sacral tumor five months ago. Initially, I had fluid discharge from the lower site of the wound on and off. My surgeon said that it will heal on its own. Then I received radiation therapy, but after completion of radiation I had wound infection deep inside the wound with foul smelling fluid and pus discharge. One month ago, underwent incision, debridement , and drainage. But after that infection is still there. Foul smelling fluid and pus is still expressing from the drain site. What will be the next step to be taken that i will discuss with my surgeon...?
It sounds like you have cellulitis and an abscess that's resisting treatment. Your gonna need to go back to the doctor for further treatment and since the previous attempts to treat it didn't work. your probably gonna need to be admitted into the hospital so they can ct your surgical site and use iv antibiotics while monitoring you more closely.  (+ info)

Can severe dehydration cause an infection in an open surgical wound to worsen?

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After heart bypass surgery, my husband was discharged with incorrect dosages of lasix written on the discharge orders. (60 mg. twice a day) Within 3 days, he became severely dehydrated and was readmitted. He was given sodium, potassium, magnesium and iron IV's for days...as well as antibiotics for an infection in the sternal wound causing it to be surgically reopened. Another long hospital stay ensued. (27 days) The hospital notes say that he was readmitted for infection to the sternal wound. This is not why I brought him to the ER. After calling the cardia unit, I brought him to the hospital for severe dehydration when I discovered the wrong dosage was written in the discharge order.
Wow, I'm sorry to hear about all of this!

My simple nurse's answer would be; YES!

Here's why;

The wound that was made by the surgeon is trying to heal. There are millions and millions of healthy cells that are trying to do their job and grow together.

Inside the cells there are different things. Its two major parts are the nucleus and the cytoplasm.

The different substances that make up the cell are collectively called protoplasm. Protoplasm is composed mainly of five basic substances: water, electrolytes, proteins, lipids, and carbohydrates. The principal fluid medium of the cell is water, which is present in most cells, except for fat cells, in a concentration of 70 to 85 per cent.

People cells get their energy from CELLULAR RESPIRATION.

Food is eaten, and is broken down into small pieces, called glucose. The glucose passes through the cell membranes of the cells in the small intestine, and into the bloodstream. The blood carries the glucose to every cell in our body. This process will only happen if oxygen is present

So without water/hydration, cells cannot live. Also without nutrition, the cells can not live.

The body needs a certain amount of nutrients to maintain a constant, healthy state. This need is determined by the basal metabolic rate. Any trauma (including surgery) raises the metabolic rate, and greater amounts of oxygen and nutrients are required to supply enough fuel and amino acids for repair and recovery.

Energy expenditure may rise by 10 percent to 50 percent to support the intense metabolic workload. Protein and amino acid requirements increase to support formation of new tissues and proliferation of immune cells, maintain lean body mass (or muscle protein), and replace the protein lost to perspiration, bleeding, and excretion.

Meeting hypermetabolic needs may leave the body dehydrated. Not only is it essential to maintain hydration, but the need for hydration increases if a wound is draining or if a person is on an air-fluidized therapy bed. Trauma patients' daily requirement of water may range from 1500 to 2000 mL/day.  (+ info)

How do I heal a year+ old surgical scar/wound?

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I have a surgery site that is over a year old and has not healed. I had two screws removed from my ankle last May (after a break was repaired) and the wound left from the surgery is still not healed. It repeatedly scabs, sometimes bleeds (if I scratch it) and is generally irritating. To answer some questions that might arise: there are no signs of infection, I keep it clean and usually covered (although I have tried leaving it uncovered too) I am otherwise healthy, I do not have diabetes or any kind of blood-clotting issues, and it doesn't hurt (unless I scratch or rub it.) Can anyone give me some insight about what might be going on?
I would go back to the doctor that did the surgery so they can make sure that everything is as it should be. There could be something wrong that is making it not heal  (+ info)

I have brown puss coming out of a stitched wound on my arm is this an infection?

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I have brown puss oozing out of a wound on my arm that has 10 stitches in it, is this anything serious,an infection of some sort? It is a fair amount coming out of the wound not just a little bit.
It is infection. Get in touch with your doctor the soonest time possible.  (+ info)

How to clean and dress a post surgical wound and what products to use?

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I just had an incised wound on my right foot, the tendon was also severed so the doctor had to repair it... Two weeks have passed and the sutures were now removed.
It depends upon if the wound is still open or closed.
If your wound is open please e-mail me and and let me know, otherwise...
You will need Sodium Chloride, Nugauze ( sterile gauze strips 1/4 or 1/2 inch wide in a steril brown bottle) , sterile scissors to cut the gauze, sterile plastic tweezers, and kendall conform bandage and kendal excilon sponge, and medical gloves.

Now first we clean the wound :
Put on your clean plastic gloves
Take 1 piece of excilon sponge, wet it with sodium chloride and gently wipe your wound for it to be clean.
let it briefly air dry.
the take your sterile plastic tweezer and insert it into the open bottle of NUGauze and pick up the end of a strip of the gauze and let unravel of teh bottle enough to cut a strip long enough to cover your wound.
Lightly wet the NuGauze strip with the sodium chloride and ring it out so it is only lightly wet. This is called a "wet to dry" dressing.
lay the strip over your wound. It will feel lightly wet over your wound.
Place a clean excilon sponge over the NuGauze, which is laying over your wound. Then wrap your with a kendall conform bandage, You may need to go once around your ankle to have the bandage stay on for walking. When you are done, tape down the end with medical tape ( any kind ok) so your wrapping can stay on. and put on a clean pair of socks. If your wound is leaking or oosing you may need to change it twice a day . If not, then once a day should be sufficient. when the incision heals or closes up then you can just wrap it dry . If your wound or incision smells, then you will need to use Acetic Acid ( sterile vinegar and water medical grade) instead of Sodium Chloride for your wound to remain extra clean and definitely change it twice a day to keep it real clean. All of these items are sold in a medical supply store on the shelf. Good luck !  (+ info)

How can i keep my surgical wound from scarring?

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I have a 37 staple wound on my chest from getting a plate put in on my collar bone. What can i do to drastically reduce the scar size?
coco butter lotion will help reduce the visibility of a scar  (+ info)

What kind of infection follows an untreated gunshot wound?

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Say a gunshot wound is delivered to the left shoulder. It is not deadly, but the bullet isn't removed until at least two weeks later with no treatment, medication or anything.

What kind of infections will happen, what symptoms will be there and what are the possible scenarios/treatments?
It depends on what bacteria contaminated the wound.

It's possible (although unlikely) that there would be no infection at all. If there is an infection, it will present with the usual symptoms: swelling, redness, and tenderness around the wound; foul discharge from the wound; fever, weakness, or other systemic symptoms; etc. Gunshot wounds, like puncture wounds, are vulnerable to anaerobic bacteria which cause infections like tetanus and botulism.

Treatment consists of appropriate antibiotics to kill the bacteria and supportive measures for the patient (hydration, pain relief, etc.).  (+ info)

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