Microbiology as applied to surgical practice

Published:October 25, 2021DOI:https://doi.org/10.1016/j.mpsur.2021.09.008


      Microbiology is integrated throughout surgical practice, and a working knowledge of its basic principles is essential in caring for surgical patients. In particular, it is important to have an understanding of the basic science behind micro-organisms and infection, as well as a knowledge of surgically important micro-organisms and methods of preventing infection in surgical patients. In this article we cover these topics with reference to the MRCS syllabus and include information about relevant micro-organisms and antibiotics.


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      1. World Health Organization Global Guidelines for the Prevention of Surgical Site Infection, main document and web appendices, available at: http://www.who.int/gpsc/ssi-guidelines/en/.

      2. NICE Quality Statements on the Prevention of Surgical Site Infection, available at: https://www.nice.org.uk/guidance/qs49/chapter/List-of-quality-statements.

      3. Scottish Intercollegiate Guidelines Network guidelines on antibiotic prophylaxis in surgery, available at: https://www.sign.ac.uk/assets/sign104.pdf.

        • Bischoff P.
        • Kubilay N.Z.
        • Allegranzi B.
        • et al.
        Effect of laminar airflow ventilation on surgical site infections: a systematic review and meta-analysis.
        Lancet Infect Dis. 2017; 17: 553-561
        • Morawska L.
        • Tang J.
        • Bahnfleth W.
        • et al.
        How can airborne transmission of COVID-19 indoors be minimised?.
        Environ Int. 2020; 142: 105832
        • Cook T.
        • Harrop-Griffiths W.
        Aerosol clearance times to better communicate safety after aerosol-generating procedures.
        Anaesthesia. 2020; 75: 1122-1123
        • Tang J.
        • Bahnfleth W.
        • Bluyssen P.
        • et al.
        Dismantling myths on the airborne transmission of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2).
        J Hosp Infect. 2021; 110: 89-96
        • Leung N.
        • Chu D.
        • Shiu E.
        • et al.
        Respiratory virus shedding in exhaled breath and efficacy of face masks.
        Nat Med. 2020; 26: 676-680
        • Shrimpton A.
        • Gregson F.
        • Brown J.
        • et al.
        A quantitative evaluation of aerosol generation during supraglottic airway insertion and removal.
        Anaesthesia. 2021; (Early View, available at:)
        • Brown J.
        • Gregson F.
        • Shrimpton A.
        • et al.
        A quantitative evaluation of aerosol generation during tracheal intubation and extubation.
        Anaesthesia. 2020; 76: 174-181
        • Klompas M.
        • Baker M.
        • Rhee C.
        What is an aerosol-generating procedure?.
        JAMA Surg. 2021; 156: 113-114