Prevention of Infections Associated With Combat-Related Burn Injuries

被引:40
作者
D'Avignon, Laurie C. [1 ]
Chung, Kevin K. [2 ]
Saffle, Jeffery R. [3 ]
Renz, Evan M. [2 ]
Cancio, Leopoldo C. [2 ]
机构
[1] USAF, Med Support Agcy, Lackland AFB, TX USA
[2] USA, Inst Surg Res, Burn Ctr, Ft Sam Houston, TX 78234 USA
[3] Univ Utah, Dept Surg, Salt Lake City, UT USA
来源
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE | 2011年 / 71卷
关键词
Burns; Thermal injury; Military; Combat; Infection; SILVER SULFADIAZINE; ANTIBIOTIC-PROPHYLAXIS; WOUND-INFECTION; EARLY EXCISION; ACINETOBACTER INFECTION; MAFENIDE ACETATE; COLONIZATION; PSEUDOMONAS; MANIPULATION; MANAGEMENT;
D O I
10.1097/TA.0b013e318227adc2
中图分类号
R4 [临床医学];
学科分类号
100218 [急诊医学];
摘要
Burns are a very real component of combat-related injuries, and infections are the leading cause of mortality in burn casualties. The prevention of infection in the burn casualty transitioning from the battlefield to definitive care provided at the burn center is critical in reducing overall morbidity and mortality. This review highlights evidence-based medicine recommendations using military and civilian data to provide the most comprehensive, up-to-date management strategies for initial care of burned combat casualties. Areas of emphasis include antimicrobial prophylaxis, debridement of devitalized tissue, topical antimicrobial therapy, and optimal time to wound coverage. This evidence-based medicine review was produced to support the Guidelines for the Prevention of Infections Associated With Combat-Related Injuries: 2011 Update contained in this supplement of Journal of Trauma.
引用
收藏
页码:S282 / S289
页数:8
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