Guidelines for the Prevention of Infections Associated With Combat-Related Injuries: 2011 Update
Abstract
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 hlgh-dose cefazolin with or without metronidazole tor most postinjury indications, and recommendations tor redosing of antimicrobial agents, for use of negative pressure wound therapy, and tor oxygen supplementation in flight.
Document Details
- Document Type
- Technical Report
- Publication Date
- Aug 01, 2011
- Accession Number
- ADA552009
Entities
People
- Clinton K. Murray
- Duane R. Hospenthal
- Jason H. Calhoun
- John M. Cho
- Jon C. Clasper
- Kevin K Chung
- Leopoldo C. Cancio
- Marcus H. Colyer
- R. B. Bell
- Romney C. Andersen