Summary
Samenvatting Overzicht Algemene Heelkunde Wondinfectie
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🦠Wondinfectie
Inleiding
2 groepen wondinfectie
infectie na chirurgie (SSI)
infectie na wonde
infectiebron
endogeen
directe omgeving
afstand
vb. tandsteen → circulatie
exogeen
personeel
materiaal
lucht
...
risicofactoren voor wondinfectie
factoren (3)
aard en ernst bacteriële contaminatie
duur bacteriele contaminatie
aantal kiemen
virulentie
bacterieel synergisme
classificaties van wondes in
proper
Wondinfectie 1
, proper gecontamineerd
gecontamineerd
vuil en geinfecteerd
lokale of systemische afweer gastheer
lokaal
weefselperfusie
lokalisatie (oog, omentum, ..)
vreemd materiaal
systemisch
leeftijd
immunodefficient
infectie
anesthesie
chirurgie gerelateerde factoren
⬆operatieduur → ⬆ infectiekans
symptomen en diagnose wondinfectie
gehechte wonde
oedeem
vocht (serohemorrhagisch, purulent)
dehiscentie
fluctuatie (zwelling)
open wonde
oedeem
purulente vocht
granulatieweefsel
slechte geur
diagnose
symptomen
Wondinfectie 2
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