Wound Classification based on Contamination

Wound Classification based on Contamination =

Wound can be classified as Clean wounds (or Tidy wounds) or Contaminated (or Untidy wounds) based on their degree of contamination. This helps in management of the wounds.
  1. Clean wounds: this class of wounds have minimal risk of infection (1-2% infection rate) and include surgically incised wounds with complete adherence of all septic conditions without breech of any hollow viscera (this includes lipoma excision, thyroidectomy, simple herniorrhaphy, herniotomy and lumpectomy. There is no need of antibiotics use in clean wound except in immunosuppressed patients or patients having a prosthetic heart valve

  1. Clean contaminated Wounds: this type of wound has low risk of infection (<10% infection rate). This type of wound includes wounds involving entry into hollow organ that is not inflamed and entry into abscess cavity, minor bridge in aseptic procedure, mild spillage of intra-abdominal viscous. These wounds occur during uncomplicated appendectomy and interval cholecystectomy. Prophylactic treatment with antibiotics is required.
  2. Contaminated wounds: This have high rate of infection (15-20% infection rate). This occurs when there is a major breach in aseptic condition even without entry into abscess cavity or hollow viscus. Contaminated wounds are created de novo such as in contamination of bile and feces, complicated appendectomy, colostomy and cholecystectomy. Therapeutic antibiotics aimed at treatment and not prophylaxes are given.
  3. Dirty or Infected wounds: These have very high risk of infection (>40% infection rate). Dirty wounds appear grossly infected with pus with entry into an abscess cavity such as in gangrenous bowel

Comments

Post a Comment

Popular posts from this blog

Image
Generalized Anxiety Disorder: Causes and Risk Factors                                           There is no singular cause of  generalized anxiety disorder  that has been identified. Evidence has shown that multiple factors are usually at play, influencing the development of GAD. Some of the common factors include things like genetic predisposition, brain chemistry, family background, social influence, and life experiences.                                Brain Structure The limbic system is a collection of brain structures that, among other functions, is involved in the regulation of many of our basic emotional reactions. Although it is generally under the control of the "thinking" part of our brain, it can respond to stimuli on its own as well. Genetics...
Read more

Dandruff? There Are 5 Types, So You Might Just Be Treating It Wrong!

Image
Dandruff? There Are 5 Types, So You Might Just Be Treating It Wrong!                                                                It starts slowly. Your black clothes are the first to be banished. Then comes the embarrassment. The awkward dance of your hands with your hair – tucking it behind your ears, rolling it up in a bun, spreading it out strategically to conceal those pesky white flakes that lay beneath. Dandruff. And there are several types of dandruff. Read on. Diagnose Your Dandruff “Eczema, dryness of scalp, infrequent shampooing and a yeast-like fungus are all common causes of the itchiness and dry flakes that define dandruff. To treat this unfortunate condition, it’s best to identify the type of dandruff that may be getting you down,” explains Dr Gray. 1)Dry-skin related dandruff Dandruff caus...
Read more