Petersen Kyle, Colyer Marcus H, Hayes David K, Hale Robert G, Bell R Bryan
Undersea and Operational Medicine, Naval Medical Research Center, 503 Robert Grant Avenue, Bethesda, MD 20889, USA.
J Trauma. 2011 Aug;71(2 Suppl 2):S264-9. doi: 10.1097/TA.0b013e318227ad9a.
The percentage of combat wounds involving the eyes, maxillofacial, and neck regions reported in the literature is increasing, representing 36% of all combat-related injuries at the start of the Iraq War. Recent meta-analysis of 21st century eye, maxillofacial, and neck injuries described combat injury incidences of 8% to 20% for the face, 2% to 11% for the neck, and 0.5% to 13% for the eye and periocular structures. This article reviews recent data from military and civilian studies to support evidence-based recommendations for the prevention of infections associated with combat-related eye, maxillofacial, and neck injuries. The major emphasis of this review is on recent developments in surgical practice as new antimicrobial studies were not performed. Further studies of bacterial infection epidemiology and postinjury antimicrobial use in combat-related injuries to the eyes, maxillofacial, and neck region are needed to improve evidence-based medicine recommendations. 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.
文献报道中涉及眼睛、颌面和颈部区域的战伤百分比正在上升，在伊拉克战争开始时占所有与战斗相关损伤的36%。最近对21世纪眼睛、颌面和颈部损伤的荟萃分析表明，面部战伤发生率为8%至20%，颈部为2%至11%，眼睛及眼周结构为0.5%至13%。本文回顾了军事和民用研究的最新数据，以支持基于证据的预防与战斗相关的眼睛、颌面和颈部损伤相关感染的建议。由于未进行新的抗菌研究，本综述的主要重点是外科实践的最新进展。需要对视、颌面和颈部区域与战斗相关损伤的细菌感染流行病学和伤后抗菌药物使用进行进一步研究，以改进基于证据的医学建议。本基于证据的医学综述旨在支持《预防与战斗相关损伤相关感染指南：2011年更新》，该指南载于《创伤杂志》的本增刊中。
