Systemic infection Bacteraemia

Systemic infection Bacteraemia

Bacteraemia is unusual following superficial SSIs, which tend to drain through the wound, but common after deep space SSIs, such as following an intestinal anastomotic breakdown. It is usually transient and can follow procedures undertaken through infected tissues (particularly instrumentation in infected bile or urine). It may also occur through bacterial infection of indwelling intravenous cannulae, which should be replaced regularly to avoid colonisation. Bacteraemia is important when a prosthesis has been implanted, as infection of the prosthesis can occur through haematogenous spread. Aerobic Gram-negative bacilli are often responsible, but Staphylococcus aureus and fungi may be involved ( Summary box 5.10 ). Summary box 5.10 Bacteraemia /uni25CF /uni25CF /uni25CF

Common after anastomotic breakdown Dangerous if the patient has a prosthesis, which can become infected May be associated with systemic organ failure

Systemic infection Bacteraemia

Bacteraemia is unusual following superficial SSIs, which tend to drain through the wound, but common after deep space SSIs, such as following an intestinal anastomotic breakdown. It is usually transient and can follow procedures undertaken through infected tissues (particularly instrumentation in infected bile or urine). It may also occur through bacterial infection of indwelling intravenous cannulae, which should be replaced regularly to avoid colonisation. Bacteraemia is important when a prosthesis has been implanted, as infection of the prosthesis can occur through haematogenous spread. Aerobic Gram-negative bacilli are often responsible, but Staphylococcus aureus and fungi may be involved ( Summary box 5.10 ). Summary box 5.10 Bacteraemia /uni25CF /uni25CF /uni25CF

Common after anastomotic breakdown Dangerous if the patient has a prosthesis, which can become infected May be associated with systemic organ failure

Systemic infection Bacteraemia

Bacteraemia is unusual following superficial SSIs, which tend to drain through the wound, but common after deep space SSIs, such as following an intestinal anastomotic breakdown. It is usually transient and can follow procedures undertaken through infected tissues (particularly instrumentation in infected bile or urine). It may also occur through bacterial infection of indwelling intravenous cannulae, which should be replaced regularly to avoid colonisation. Bacteraemia is important when a prosthesis has been implanted, as infection of the prosthesis can occur through haematogenous spread. Aerobic Gram-negative bacilli are often responsible, but Staphylococcus aureus and fungi may be involved ( Summary box 5.10 ). Summary box 5.10 Bacteraemia /uni25CF /uni25CF /uni25CF

Common after anastomotic breakdown Dangerous if the patient has a prosthesis, which can become infected May be associated with systemic organ failure