Wound Classification

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Questions and Answers

A surgical incision made during a sterile procedure that does not enter areas with normal flora would be classified as what type of wound?

  • Dirty and infected wound
  • Contaminated wound
  • Clean wound (correct)
  • Clean contaminated wound

Which type of wound carries the highest risk of infection due to its nature and environment?

  • Clean contaminated wound
  • Contaminated wound
  • Dirty and infected wound (correct)
  • Clean wound

A patient presents with a fresh traumatic wound sustained from a farm accident. There is visible dirt and debris embedded in the tissue. How should this wound be classified?

  • Dirty and infected wound (correct)
  • Contaminated wound
  • Clean wound
  • Clean contaminated wound

A surgeon performs an elective cholecystectomy (gallbladder removal). Assuming no spillage or unusual contamination, how should the resulting wound be classified?

<p>Clean contaminated wound (B)</p> Signup and view all the answers

During an appendectomy, a small amount of bowel contents spills into the surgical site. How does this affect the wound classification?

<p>It is classified as a contaminated wound. (D)</p> Signup and view all the answers

Which of the following best describes a 'clean contaminated' wound?

<p>An operative wound entering areas with normal flora, without significant contamination. (A)</p> Signup and view all the answers

Compared to a clean wound, what is the primary distinguishing factor that elevates a wound to the 'clean contaminated' category?

<p>Entry into a body area with normal flora. (C)</p> Signup and view all the answers

A patient has a surgical wound that shows signs of purulent drainage but was initially classified as clean. How should this wound now be classified?

<p>Dirty and infected wound (B)</p> Signup and view all the answers

A surgeon is closing a surgical wound after removing an infected mass. Although sterile techniques were used, the area was known to be infected prior to incision. What category does this wound fall into?

<p>Contaminated (A)</p> Signup and view all the answers

What is the most important step in managing a 'Dirty and Infected' wound?

<p>Thorough debridement and cleansing (C)</p> Signup and view all the answers

Flashcards

Clean Wounds

Surgical wounds made under sterile conditions, not involving infected tissues or areas with normal flora.

Clean Contaminated Wounds

Operative wounds entering areas with normal flora (excluding the colon) without known contamination.

Contaminated Wounds

New surgical and traumatic wounds with a high contamination risk, such as incisions into non-purulent infected tissues.

Dirty and Infected Wounds

Old, infected traumatic wounds; those heavily contaminated with foreign material; and wounds contaminated by spillage from perforated organs.

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Study Notes

  • Clean Wounds: Surgical wounds made under aseptic conditions. These wounds do not go through infected tissues or extend into areas with normal flora.
  • Clean Contaminated Wounds: Operative wounds that extend into sites with normal flora, excluding the colon, and without known contamination.
  • Contaminated Wounds: Fresh surgical and traumatic wounds that have a major risk of contamination. Examples include incisions into nonpurulent infected tissues.
  • Dirty and Infected Wounds: Old, infected traumatic wounds. Also includes wounds significantly contaminated with foreign material, and wounds contaminated by spillage from perforated viscera.

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