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A surgical skin preparation, typically performed with a broad-spectrum antimicro

ID: 148439 • Letter: A

Question

A surgical skin preparation, typically performed with a broad-spectrum antimicrobial agent with residual protection, cannot destroy all the resident flora of the skin. The best that can be hoped is a drastic reduction inpotential sources of wound infection. During any surgical procedure, the surgical technologist carefullyplaces the knife used for the skin incision in the kidney basin on the backtable. 1. Why did the surgical technologist place the skin knife in the basin? 2. What other measures can be taken to prevent those bacteria left on the skin from entering the wound? 3. Does the introduction of bacteria into a wound guarantee an infection? If not, why not?

Explanation / Answer

Ans 1) The surgeon placed the knife on the kidney basin as it is per the protocol to always place the knife on a neutral zone. This is an indication to remove the item from the field immediately so that it is no longer used. This helps in reducing the contamination as the knife is disinfected post that and is discarded so that it cannot be further used.

Ans 2) The sepsis or the infection can be taken care of by preventing the bacteria from entering the wound. One of the best ways is to treat the area with anti-bacterial medicines and this can prevent the infection. The use of effective and sterile condition can helps in reducing the infection and vaccinations is one of the most important things.

Ans3) It depends on how fragile the condition of the wound is. The inflamed and wounded area is more prone bacterial contamination as they get an open area to enter. However, it is not always case as if the area is treated with proper anti-microbials, it will be prevented.

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