All of the following are risk factors for postoperative infection after hysterectomy except :
Correct Answer: Use of blood transfusion
Description: Ans. is b i.e. Use of blood transfusion Friends, let's discuss each option one by one. Urinary catheterization (Option 'a) It is very obvious that urinary catheterization for > 7 days will increase the chances of post operative infection. "Almost all nosocomial UT/ are associated with preceeding instrumentation and indwelling catheter, which create a 3-10% risk of infection each day." Surgery for malignancy (Option 'c) Telinde's Operative Gynaecology 9/e, p 197 and William Gynae, l/e p 77 gives a list of risk factors for Post Operative Infection. Risk factors for Postoperative Infection : Altered immunocompetence Obesity Bacterial vaginosis Excessive intraoperative blood loss Telinde's Operative Gynaecology Radical surgery - a/w prolonged surgical procedure (>3-5 hrs) Prolonged preoperative hospitalization Operative inexperience * Lower socioeconomic status * Poor nutrition * Excessive devitalized tissue * Diabetes mellitus * Failure to use prophylactic anitbiotics * Surgery in an infected operative site. Young age/old age (Williams Gynae 1/e, p 77) From the table it is clear : Radical surgery which is carried out for carcinoma endometrium and carcinoma cervix carries risk for postoperative infection. (Option "c") As far as age is concerned : Telinde operative gynaecology 9/e. p 196 says: "Young age has been considered a risk factor for vaginal posthysterectomy infection, although the exact reason is unclear." And table in Williams Gynae lie. p 77 gives old age as a risk factors for abdominal hysterectomy and young age as a risk factor for vaginal hysterectomy. This leaves us with option 'b' i.e. use of blood transfusion. Though theoretically by blood transfusion risk of infection with - HIV. hepatitis B/C, G etc is high but practically the technique by which blood is prepared there is minimal risk .
Category:
Gynaecology & Obstetrics
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now