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MEDICINA E CHIRURGIA DELLA CAVIGLIA E DEL PIEDE

A Journal on Physiopathology and Surgery of the Foot


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Chirurgia del Piede 2011 August;35(2):63-8

Copyright © 2011 EDIZIONI MINERVA MEDICA

language: Italian

Postoperative foot surgery infection prophylaxis in patients at risk

Napoli V. 1, Napoli E. 2

1 Centro di Chirurgia del Piede, Clinica Fornaca di Sessant, Torino, Italia 2 Ospedale Villa Maria Pia, Torino, Italia


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A surgical patient is considered to be at risk when his or her general condition is jeopardised by other traumas or pathologies. Any decision to resort to surgery must be preceded by attentive assessment of the relationship between the resulting benefit and the possible triggering of more serious complications such as organic failure and postoperative infections. Postoperative infections range from the minor to the fatal and are localised mainly on the surgical wound from which they may extend to the blood (sepsis) and lungs. Their incidence and gravity are related to the degree of change or compromise to the physiological and anatomical defence mechanisms of the organism and to the reduced activity and efficiency of the immune system due to pre-existing pathologies or the therapies used to treat them. Knowledge of aetiological factors, triggering mechanisms, the adoption of anti-sepsis barriers and the support of targeted antibiotic prophylaxis help to prevent them.

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