Prevention and management of infections associated with combat-related thoracic and abdominal cavity injuries

Nicholas G. Conger, Michael L. Landrum, Donald H. Jenkins, R. Russell Martin, James R. Dunne, Erwin F. Hirsch

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

During wartime, abdominal and thoracic trauma constitutes approximately 20% of combat-related injuries. Rates of infection vary based upon organ of injury with the highest rates noted for trauma to the colon. This review focuses on the management and prevention of infections related to injuries of the thoracic and abdominal cavity. The evidence upon which these recommendations are based included military and civilian data from prior published guidelines, clinical trials, where available, reviews, and case reports. Areas of focus include antimicrobial therapy, irrigation and debridement, timing of surgical care, and wound closure. Overall, there are limited data available from the modern battlefield regarding the prevention or treatment of these infections and further efforts are needed to answer best treatment strategies.

Original languageEnglish (US)
Pages (from-to)S257-S264
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume64
Issue numberSUPPL. 3
DOIs
StatePublished - Mar 2008
Externally publishedYes

Keywords

  • Abdomen
  • Combat
  • Infection
  • Thorax
  • Trauma

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

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