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[CIUITE AVl n P Y in the waste container. 94 NED@®.. FURRACION Sucosy [(AmEm = v Cover with sterile gatmressing and / or appropriate dressing if required, according to location and characteristics of the wound. Follow up of the evolution of the wound every 24 hours. If favorable evolution of the wound, remove staples or stitches to 10 to 15 days following surgery and a week with local wound care. AN » “YES” SIGNS OF INFECTION: v' Detection of infection: observation of symptoms. v The clinical symptoms suggestive of infection include swelling, heat, redness, purulent discharge, increased level of exudate, the wound deterioration or transitional change in the appearance of the tissues (eg, normal granulation becomes and bleeds easily dark) and temperature elevation of systemic. v If applicable, take the appropriate culture swab. v Clean with saline always from the inside out. v Debride wound, if applicable. v' Irrigate wound with antiseptic (aqueous 0.05% chlorhexidine or povidone- iodine). v According wound condition, leave wick drains unclogged or used to facilitate wound drainage (penrouse or roof). Leave sterile dressing. Performing cure twice daily (morning and evening) and every time we detect the dressing is soiled. AN TREATMENT: The 3 pillars of treatment of surgical site infection are: 1) Establishment of appropriate antibiotic therapy. 2) Surgical drainage. 3) metabolic support and the patient, to avoid the appearance of a second complication hemo-dynamic. 6-Score in the dressing the date of completion of the cure. 7-Replace the healing team and sterile gloves between patients. 8-Sheet Record on Nursing observations evolution of the surgical wound. 95