Table 2: Surgical site infections.
Type | Microbe | Treatment |
Superficial (n = 8) | Rare Corynebacterium/Alpha Hemolytic Strep and Veilonella spp Gram neg anaerobic cocci | Bedside wound care and antibiotics |
VRE/Gm- Rods/E. Cloacae | Bedside wound care and antibiotics | |
E. coli | Bedside wound care and antibiotics | |
Enterobacter/Coag Neg Staph | Antibiotics | |
Proteus mirabilis | Antibiotics | |
S. aureus | Bedside wound care and antibiotics | |
Culture negative symptomatic infection | Empiric antibiotics | |
Rare E fecium, few Coag Negative Staph | Antibiotics | |
Deep (n = 4) | Klebsiella/Pseudomonas | IR drainage and antibiotics |
Pseudomonas/Gm + Cocci/Entercobacter | Operative wound debridement and antibiotics | |
Pseudomonas/Corynebacterium spp, /Enterococcus | Operative wound debridement and antibiotics | |
MRSA | Operative wound debridement and antibiotics | |
Organ Space (n = 12) | Culture negative symptomatic abdominal fluid collection | IR drainage |
pl fluid S. epidermidis and S. capitis | IR drainage and antibiotics | |
Pseudomonas/Gm- Rods | Laparotomy for repair of bowel perforation and antibiotics | |
Rare Coag Negative Staph | Re-laparotomy for evacuation of hematoma and antibiotics | |
Candida tropicalis | IR drainage and antifungals | |
Enterococcus faecium | Laparotomy and antibiotics | |
E. faecalis/Gm- + rods | IR drainage and antibiotics | |
VRE and multidrug resistant K pneumonia | Paracentesis and antibiotics | |
C. albicans, C. glabrata | Paracentesis and antifungals | |
VRE/Gm + Cocci | IR drainage, endoscopic stent for biliary stricture and antibiotics | |
Cryptococcus | IR drainage and antifungals | |
Fever and abdominal fluid collection (no culture) | Empiric antibiotics |