What is the most common organism responsible for post-operative infections in surgical patients?

Study for the UWorld Surgery Test. Use multiple choice questions with explanations to enhance your understanding and performance. Prepare for your exam effectively and gain confidence!

Staphylococcus aureus is often the most common organism responsible for post-operative infections in surgical patients due to its prevalence on the skin and mucosal surfaces. During surgery, this bacterium can easily enter the body, especially when procedures involve incisions or breaches in skin integrity.

Nosocomial infections, which are acquired in a hospital setting, frequently involve Staphylococcus aureus, particularly the methicillin-resistant strain (MRSA). This organism is adept at colonizing patients, and if prevention measures such as appropriate antibiotic prophylaxis, surgical site cleaning, and proper hand hygiene are not implemented, it poses a significant risk for infection after surgical procedures.

While Escherichia coli is also known to cause infections, particularly in abdominal surgeries or urinary tract infections, it is less commonly associated with skin or surgical site infections compared to Staphylococcus aureus. Clostridium perfringens may cause infections related to tissue necrosis, such as gas gangrene, but these circumstances are less frequent as a straightforward post-operative complication. Lastly, Streptococcus pneumoniae is primarily associated with respiratory infections and is not a common pathogen in post-operative settings. Thus, Staphylococcus aureus stands out as the leading cause of post-operative infections in surgical patients

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