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Q1: Classification (2 min)
"Classify surgical site infections by depth."
- Superficial incisional: skin and subcutaneous tissue
- Deep incisional: fascia and muscle layers
- Organ/space: any organ or space opened/manipulated (peritoneum, joint)
Q2: Prevention (3 min)
"How do you prevent SSI?"
- Prophylactic antibiotics within 60 min of incision
- Aseptic technique, skin preparation (chlorhexidine)
- Normothermia, glycaemic control, supplemental O2
- Hair removal by clipping (not shaving)
- Minimally invasive surgery where possible
Q3: Management (2 min)
"How do you treat an established SSI?"
- Open wound, drain pus
- Wound swab for culture
- Regular dressings
- Targeted antibiotics if cellulitis/systemic signs
- Debridement if necrotic tissue
- VAC therapy for large wounds