This room has a drain in the floor, right?

I watched this with the sound off, so I’m not sure about the language here.
This is nearly a hands-off procedure. Incise then step back.
What causes something like this?

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  • Holy. Smokes. I just had a hip replaced about eight weeks ago. This is horrifying. How do you get such an infection so quickly? It had to be surgical prep technique. Somebody didn’t clean his skin very well. He will be on IV antibiotic therapy, oral antibiotics and at least a wound vac. If he’s lucky, he can have that all gone in about six months. Then, prophylactic antibiotics for the rest of his life.

    • The correct treatment would be debridement under anasthesia, IV antibiotics, followed by removal of the inplant. Then a few weeks of antibiotics based on cultures from the wound. Then implantation of a new prostethic hip.
      Wound infections jus happen. It can just as well be that this guy is a person that has been manipulating or sratching his wound and implanted bacteria with his own grubby fingernails.
      Prophylactic antibiotics should be reserved for very few people. We live in an era where the nonrestrictive use of antibiotics seen in the US, Asia, India and southern Europe means, that we will experience the horrors of the 19the and 20th century pre-penicillin era.

  • Yep. Guy looks like a diabetic, and maybe not so old. Looked like a double amputee as well. When you’re non compliant with treatment, or blood sugar uncontrolled, things like this happen. I’m surprised the doc didn’t do it under general anesthesia and put a drain in. Strange.

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