1. Surgical Infections
What about Treatment?

2. Look for the cause Loco-regional? Systemic
Messy wounds not necessarily infection
Spreading cellulitis
Lymphangitis/adenitis
Phlebitis
Systemic
Tachycardia
fever

3. investigation
Bloods
Wcc
Crp
Esr
Micro
Mcs
Pcr

4. Loco-regional Wound management Implant / fb management Antibiotics
Debridement
Environment Ph / Uv
Dressings
Implant / fb management
Antibiotics
Empiric -> specific

5. multidisciplinary Id – all complex issues Vascular – revascularisation
Prs – vascular coverage
Co-morbidities
Medical specialties

6. summary Suspicion -> confirmation -> aggressive therapy
Not reassurance + empiric antibiotics = optimism