Mary is admitted and undergoes a laparoscopic cholecystectomy.
On day 1 post-op she is doing well, complaining only of pain at the incision sites. However on day 2 she spikes a temperature of 38.6 C.
A chest X-ray is performed which reveals a left sided lower respiratory tract infection (RTI)
What were Mary's predisposing factors to RTI?
Should Mary have received antibiotic prophylaxis pre-op?
What are the likely causitive organisms for Mary's RTI?
Continue the case...