Virtual Online Fellowship in Management of Osteoarticular Infections (3rd Batch)
Virtual Online Fellowship in Management of Osteoarticular Infections
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Online Classes will be on Wednesday or Thursday as per prior intimation: Timing 8.00 pm IST
Recordings of the classes will be available within 24 hrs of the class and access allowed for 3 months after end of the fellowship
Syllables for 3rd Fellowship on Osteoarticular infections
Starting 12th January
Format
- 10 sessions of 1 and a half hours each
- Hybrid session from Saturday afternoon to Sunday afternoon
Session 1
Basics of OA infections
- A) The world of Microbes
1) The common microbes causing osteoarticular &. Soft tissue infections
- A) Gram-positive and negative Bacteria
- B) Mycobacteria –M.TB and NTM
- C) Fungi
- D) Rare organisms
2) How microbes reach the destinations
- A) Haematogenous spread
- B) Open fracture
- C) Post surgical infection
- D) Contiguous
3) The biofilm – This is how it all starts and progresses
- A) The basis and basic of biofilm
- B) Organisms forming biofilm
Session 2
- Avoiding healthcare related infections
- Hair removal
- Avoiding seedlings of infection in the OT
- OT ventilation, current understanding and recommendation about Laminar flow
- OT cleaning
- Hand wash
- Part preparation
- Gown and draping material
- Medicated Isolation drapes
- Prophylactic Antibiotics
- Wound wash
- Dressing
- Drain – current understanding
- General recommendations
- Disposables
- Sterilization of instruments, implants and linen
- Different types of Autoclaves
- Various indicators
- Plasma sterilization /Flash sterilization
- ETO
- Gamma Radiation
- Current recommendation about Glutaraldehyde
- Sterilization of scopes
- Shelf life
- Catheter related infection
Session 3 and 4
Open fractures and infections with cases from delegates
- Classification systems
- Antibiotics in open fractures
- Prehospital care
- Initial care in the hospital
- Debridement in open fractures
- Role of cultures in open fractures
- Skeletal stabilization in open fractures – and relevance in infection
- Role of External fixation –
- When
- How long
- How to construct a good frame.
- When and why to convert to internal fixation.
- When to aim for fracture union in Ex fix
- How to reduce incidence of delayed, mal and non-union
- Role of Internal fixation
- When – prerequisites
- Care when doing internal fixation after external fixation
Session 5
Role of plastic surgeon in prevention and management of infection
Session 6 Infection after closed fractures
- Definition and classification of infection after fracture fixation
- Differences between Infection after closed and open fractures.
- Debridement
- Planning Debridement –
- Incisions and deep dissection.
- Retain or remove implants
Session 7
Different scenarios in Fracture related infections
- Open fractures presenting late
- Open fracture with no infernal fixation
- Early FRI
- Delayed FRI
- Late FRI after fracture heals
- Infected NU
- Infection persisting in spite of implants
Hybrid meeting Saturday afternoon to Sunday afternoon
- Role of microbiological diagnosis in FRI
- Containers for sample collection
- Culture methods
- “ideal sample” and Method of collection
- Tests to be done
- Avoiding negative cultures
- Scenarios of clinical presentation of some microbes
- Other laboratory findings of relevance in infections
- Imaging in infection. Role of Xrays, USG,CT scan, MRI, PET,WBC PET,
- Systemic antibiotics
- Prophylactic antibiotics
- Preemptive antibiotics
- Empirical antibiotics
- Culture guided antibiotics
- Suppressive antibiotics
- Antibiotics active against Biofilm
- Local Antibiotics – demo
- Delegates' cases
Session 8
Mycobacterial affection of skeleton – TB spine
Session 9
Extra spinal TB
Session 10
- dark cloud on the horizon – Non Tuberculous and Fungal infections
- Conclusions and roadmap for future
