Murray Clinton K
Brooke Army Medical Center, Fort Sam Houston, Texas, USA.
J Trauma. 2008 Mar;64(3 Suppl):S232-8. doi: 10.1097/TA.0b013e318163c3f5.
Enhanced medical training of front line medical personnel, personal protective equipment, and the presence of far forward surgical assets have improved the survival of casualties in the current wars in Iraq and Afghanistan. As such, casualties are at higher risk of infectious complications of their injuries including sepsis, which was a noted killer of casualties in previous wars. During the current conflicts, military personnel who develop combat-related injuries are at substantial risk of developing infections with multidrug resistant bacteria. Herein, we describe the bacteriology of combat-related injuries in Operation Iraqi Freedom and Operation Enduring Freedom that develop infections with particular attention to injuries of the extremities, central nervous system, abdomen and thorax, head and neck, and burns. In addition, the likely sources of combat-related injuries with multidrug resistant bacteria infections are explored.
加强一线医务人员的医学培训、提供个人防护装备以及配备前沿外科资源，提高了伊拉克和阿富汗当前战争中伤员的生存率。因此，伤员因伤发生感染并发症（包括败血症）的风险更高，败血症在以往战争中是导致伤员死亡的一个显著因素。在当前冲突中，遭受与战斗相关损伤的军事人员感染多重耐药菌的风险很大。在此，我们描述了伊拉克自由行动和持久自由行动中发生感染的与战斗相关损伤的细菌学情况，特别关注四肢、中枢神经系统、腹部和胸部、头颈部以及烧伤的损伤情况。此外，还探讨了多重耐药菌感染的与战斗相关损伤的可能来源。
