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Traumatic Wound Infections - Coggle Diagram
Traumatic Wound Infections
Epidemiology
Infection of traumatic wound
Cellulitis
Necrotizing fasciitis
Gas gangrene (clostridial myonecrosis)
Causative organisms
Clean
Endogenous flora
Staph. aureus
Beta-haemolytic streptococci
Usually with surgery
Contaminated
Endogenous + exogenous flora
Clostridium
Enterobacteriaceae
Pseudomonas aeruginosa
Burns
Pseudomonas aeruginosa
Staph. aureus
Enterobacteriaceae
Candida
Dog/cat bites
Pasturella multicoda
(mouth flora)
Human bites
Streptococci
Oral anaerobes
Wounds acquired in water
Pseudomonas
Freshwater
Aeromonas
Salt water
Vibrio
Treatment/Prevention
Clean wound
Flucloxacillin
Contaminated wound
Cleaning +/- surgical debridement
Tetanus shot
Co-amoxiclav
Others
Cleaning +/- surgical debridement
Treat as cellulitis