Surgical Infection. Acute purulent infection of skin & cellular spases

1. ““SURGICAL INFECTION. ACUTESURGICAL INFECTION. ACUTE
PURULENT INFECTION OF THEPURULENT INFECTION OF THE
SKIN AND CELLULAR SPASESSKIN AND CELLULAR SPASES””

2. PURULENT SURGICAL INFECTION. It is the inflammatory process
of different localizations and character. The purulent microorganism
are the reasons of surgical infection.
I. Determination. Reasons.
The character, the dose and the virulence of microorganism, the
state of patient and the presence of necrotic tissues, the
disturbance of blood circulation and immunology state of patient are
the important factors of development of purulent surgical infection.
It causes many diseases and post operation purulent disorders.
These patients consists 33% in according to all surgical patients.
There are the processes:
1) purulent diseases;
2) the purulent and destructive processes
as the complications of acute surgical diseases;
3) suppuration of operation wounds;
4) suppuration of the tissues after its trauma

3. II. CLASSIFICATION OF THE SURGICAL INFECTION
І acute:
а) purulent; б) putrefactive; в) non-specific anaerobic (gangrene); г) specific
anaerobic (tetanus, anthrax, diphtheria of the wounds).
ІІ chronic: а) non-specific; б) specific (tuberculosis, syphilis, actinomucosis).
In according to proceeding:.
In dependence of aethiology: s, streptococcus, gonococcus, anaerobic non-
sporemade, clostridium, complex and other infections
In dependence of localization: surgical infection of the skin and subcutaneous
tissue, infection of the skull cover (brain and capsules), purulent infection of the chest
and it’s organs (lungs, mediastenum), infection of the peritoneum and the organs of
the abdominal cavity, infection of the pelvis organs, infection of the bones and joints.
The factors which can stimulate the development of surgical infection are:
1) hemorrhage and dead tissues into wounds;
2) polyinfection with the synergetic action;
3) increased virulence of microorganism.

4. Exogenic
III. The ways of penetration of
microorganism into the wound
Air-drops
Contact

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6. The ways of penetration of
microorganism into the wound
Endogenic infection
Hematogenic and
lymphogenic
Contact
Internal

7. III. Pathogenesis of the surgical infection
Many factors have significance in pathogenesis of the purulent infection.
The main are:
1. Violation of the nutrition of the skin and mucous covers on the entering
gates of the infection;
2. The virulence, the type and the number of contaminating bacteria
3. Devitalized tissue within the wounds;
4. The presence of foreign bodies;
5. The nature, the location and the duration of the wounds;
6. The local and general immunity response of the individual
7. The type and the thoroughness of treatment
8. The general condition of the patient

8. IV. Reaction of the organism on the invasion
Local appearance:
• pain,
• oedema,
• breaching the function,
• hyperemia,
• venous stasis,
• high temperature
There are hyperergic, normergic, hypergic and anergic forms of
inflammation
General appearance:
- symptoms of intoxication (headache, weakness), fever,
tachycardia, hypotonia, encephalopathia;
- Changes in the blood (leycocitosis, hastening the SSE,
moving of llycocite formula to the left, hypoproteinemia,
increasing of immunoglobulines, growing phagocyte’s
activity).

9. V. THE METHODS OF DIAGNOSTICV. THE METHODS OF DIAGNOSTIC
OF SURGICAL INFECTIONOF SURGICAL INFECTION
Examination of patient
Laboratory dates
Additionally instrumentally
investigations
Bacteriological method

10. VI. TREATMENT OF SURGICALVI. TREATMENT OF SURGICAL
INFECTIONINFECTION
Purulent diseases pass two positions of growing: stage
of infiltration and stage abscission. Treatment is
made due to the stage of diseases.
In the first stageIn the first stage we use the conservative methods:
antibioticotherapy, physiotherapy (soluxe, quarts, dry
heat), desintoxycation therapy.
On the second stageOn the second stage with developing of the pus (abscess,
phlegmon) or the necrotic changes of tissues we use the
surgical methods (opening, draining) of the treatment of
purulent process. This is supplements by the
antibioticotherapy and antisepticotherapy,
desintoxycation therapy, antiinflammatory therapy,
protheolytic enzymes, if necessary – immunotherapy.

11. FURUNCUL

12. TREATMENT OF THE FURUNCUL

13. CARBUNCUL

14. HYDRADENITIS

15. ABSCESS

16. TREATMENT OF THE ABSCESS

17. PHLEGMONE

18. TREATMENT OF THE PHLEGMONE

19. ERYSIPELAS
ERYMATOSIS
PHLEGMONOSIS
BULLOSIS-NECROTIC

20. LYMPHANGITIS ANDLYMPHANGITIS AND
LYMPHADENITISLYMPHADENITIS

21. TREATMENT OF THE LYMPHAGITIS
AND LYMPHADTNITIS

22. MASTITIS

23. TRTEATMENT OF THE MASTITIS

24. PANARICEUMPANARICEUM

25. SKIN PANARICEUMSKIN PANARICEUM

26. SUBCUTANEOUS PANARICEUMSUBCUTANEOUS PANARICEUM

27. PARONYHIUMPARONYHIUM

28. SUBNAIL PANARICEUMSUBNAIL PANARICEUM

29. TENDINEUS PANARICEUMTENDINEUS PANARICEUM
(TENDOVAGINITIS)(TENDOVAGINITIS)

30. BONE PANARICEUMBONE PANARICEUM

31. JOINT PANARICEUMJOINT PANARICEUM

32. PANDACTELITISPANDACTELITIS

33. PHLEGMONS OF HANDPHLEGMONS OF HAND

34. PHLEGMONS OF HANDPHLEGMONS OF HAND

35. PHLEGMONS OF HANDPHLEGMONS OF HAND

36. PHLEGMONS OF HANDPHLEGMONS OF HAND

37. PHLEGMONS OF HANDPHLEGMONS OF HAND

38. PHLEGMONS OF HANDPHLEGMONS OF HAND