Saeed Omar, Tribble David R, Biever Kimberlie A, Crouch Helen K, Kavanaugh Michael
Joint Trauma System, 3698 Chambers Pass, Joint Base San Antonio, Fort Sam Houston, TX.
Mil Med. 2018 Sep 1;183(suppl_2):137-141. doi: 10.1093/milmed/usy077.
Wound infections play an important role in the morbidity and mortality of service members injured in combat. The exigent and often long road to recovery can be complicated by healthcare-associated infections caused by multidrug-resistant organisms. The outcome is not only financially taxing but also can be life threatening. This Clinical Practice Guideline (CPG) will provide the reader with a brief overview of this topic, easy and equitable strategies to implement, and significantly reduce the exposure and possible contamination and spread of life threatening organisms in combat wounds. The table and guidance will provide easy step-wise approach in management of different challenging scenarios to help control spread of infection down range and at every level of medical treatment facility involved in patient transport to the ultimate institution.
伤口感染在战斗中受伤的军人的发病率和死亡率中起着重要作用。由于耐多药生物引起的医疗保健相关感染，紧急且通常漫长的康复之路可能会变得复杂。其结果不仅在经济上造成负担，而且可能危及生命。本临床实践指南（CPG）将为读者提供该主题的简要概述、易于实施且公平的策略，并显著减少战斗伤口中危及生命的生物体的暴露以及可能的污染和传播。该表格和指南将为管理不同具有挑战性的情况提供简单的逐步方法，以帮助控制感染在下游以及参与患者转运至最终机构的各级医疗设施中的传播。
