Infection in vascular surgery (RAKI_020)
About Study Course
Objective
The goal is to define the current state of the art in the management of patients with vascular graft infection (VGI), including aorto - enteric fistula (AEF).
Learning outcomes
1.Three important principles dictate attitudes to treatment:
* eradication of infection,
* ensuring adequate peripheral perfusion,
* minimizing mortality and morbidity.
1.The ultimate choice of intervention in therefore always going to be a compromise between idealism and reality, and has to be based on urgency of presentation, patient fitness, type of previous surgery and likely outcome.
1.Prophylactic antibiotics reduce surgical site infection. They should be administred sothey have maximum and adequate concentration prior to the skin incision. Inflamamatory markers can be monitored. Specimans must be taken for microbiological culture: wound swab and blood culture (+ sputum, urine, central catheters).
