Guidelines for the Prevention of Infections Associated With Combat-Related Injuries: 2011 Update
| Autor: | Clinton K. Murray, Duane R. Hospenthal, John M. Cho, Helen K. Crouch, Laurie C. D'Avignon, Marcus H. Colyer, R. Bryan Bell, Kyle Petersen, Brian J. Eastridge, Jason H. Calhoun, William T. Obremskey, Thomas K. Curry, Joseph C. Wenke, David R. Tribble, Timothy J. Whitman, Joseph S. Solomkin, Mark D. Fleming, Joseph R. Hsu, John B. Holcomb, Jeffrey R. Saffle, Jon C. Clasper, David K. Hayes, Kent E. Kester, George P. Costanzo, Leon E. Moores, Warren C. Dorlac, Deena E. Sutter, Romney C. Andersen, Andrew D. Green, James R. Ficke, Evan M. Renz, Robert G. Hale, Gregory J. Martin, Nicholas G. Conger, Andrew R. Wiesen, Leopoldo C. Cancio, Kevin K. Chung, Michael A. Forgione, Glenn Wortmann, James R. Dunne |
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| Rok vydání: | 2011 |
| Předmět: |
Warfare
medicine.medical_specialty Resuscitation business.industry medicine.medical_treatment Cefazolin Psychological intervention Critical Care and Intensive Care Medicine Anti-Bacterial Agents Military medicine Surgery Clinical trial Animal data Negative-pressure wound therapy Practice Guidelines as Topic Wound Infection medicine Humans Infection control Military Medicine Intensive care medicine business medicine.drug |
| Zdroj: | Journal of Trauma: Injury, Infection & Critical Care. 71:S210-S234 |
| ISSN: | 0022-5282 |
| DOI: | 10.1097/ta.0b013e318227ac4b |
| Popis: | Despite advances in resuscitation and surgical management of combat wounds, infection remains a concerning and potentially preventable complication of combat-related injuries. Interventions currently used to prevent these infections have not been either clearly defined or subjected to rigorous clinical trials. Current infection prevention measures and wound management practices are derived from retrospective review of wartime experiences, from civilian trauma data, and from in vitro and animal data. This update to the guidelines published in 2008 incorporates evidence that has become available since 2007. These guidelines focus on care provided within hours to days of injury, chiefly within the combat zone, to those combat-injured patients with open wounds or burns. New in this update are a consolidation of antimicrobial agent recommendations to a backbone of high-dose cefazolin with or without metronidazole for most postinjury indications, and recommendations for redosing of antimicrobial agents, for use of negative pressure wound therapy, and for oxygen supplementation in flight. |
| Databáze: | OpenAIRE |
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