Infectious complications of combat-related mangled extremity injuries in the British military

The Journal of Trauma
Kate V BrownJon C Clasper

Abstract

During the wars in Iraq and Afghanistan, extremity injuries have predominated; however, no systematic review of field and stabilization care with subsequent infectious complications exists. This study evaluates the infectious complications and possible risk factors of British military casualties with mangled extremities, highlighting initial care and infections. This is a retrospective cohort study of British military casualties in Iraq and Afghanistan between August 2003 and May 2008. Casualties with mangled extremities undergoing limb salvage were evaluated for management strategies at the time of injury through evacuation back to the United Kingdom and subsequent infections. There were 84 casualties with 85 extremities (20 infected and 65 uninfected). Infected extremities had more Gustilo Classification IIIb. There were no differences by Injury Severity Score, age, durations from injury to evacuation, or surgery, or arrival in England, use of clotting materials, or method of extremity stabilization between infected and uninfected extremity injuries. Tourniquet use in the field and fasciotomy were associated with infections. Antimicrobial coverage was associated with infections. Staphylococcus aureus were recovered later in c...Continue Reading

References

Dec 1, 1975·Annals of Surgery·E Simchen, T Sacks
Feb 1, 1968·Archives of Surgery·M SeidensteinE V Tanski
Aug 16, 2005·Journal of the Royal Army Medical Corps·J C Clasper, S L Phillips
Feb 25, 2006·The Journal of Bone and Joint Surgery. British Volume·P V GiannoudisC Roberts
Feb 25, 2006·The Journal of Bone and Joint Surgery. British Volume·S B NaiqueJ Nanchahal
Sep 28, 2006·The Journal of the American Academy of Orthopaedic Surgeons·Matthew R Camuso
Oct 3, 2006·The Journal of Bone and Joint Surgery. British Volume·S RajasekaranS Rajasabapathy
Oct 14, 2006·Military Medicine·Clinton K MurrayEmmett Gourdine
Dec 21, 2006·Journal of the Royal Army Medical Corps·D E HinsleyJ S Clasper
Apr 7, 2007·Journal of Orthopaedic Trauma·Brett D OwensJoseph C Wenke
Jul 20, 2007·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Erica N JohnsonClinton K Murray
Aug 19, 2007·Military Medicine·Robert M RushCharles A Andersen
Dec 25, 2007·Military Medicine·Frank K ButlerJames Bagian
Feb 28, 2008·The Journal of Trauma·Brett D OwensJohn B Holcomb
Mar 20, 2008·The Journal of Trauma·Clinton K MurrayJason H Calhoun
Apr 11, 2008·The Journal of Trauma·Heather C YunClinton K Murray
Apr 12, 2008·The Journal of Trauma·Peter RheeHassan Alam
Jun 27, 2008·The Journal of Trauma·Charles J FoxJohn B Holcomb
Jul 3, 2008·Plastic and Reconstructive Surgery·Scott GeigerAmy G Wandel
Jul 16, 2008·Journal of the Royal Army Medical Corps·J McLeodP Mahoney
Dec 3, 2008·The Journal of Bone and Joint Surgery. American Volume·John J KeelingFrancis X McGuigan
Dec 19, 2008·Journal of the Royal Army Medical Corps·P J Parker
Dec 25, 2008·Annals of Surgery·John F KraghJohn B Holcomb
Jan 1, 2009·Plastic and Reconstructive Surgery·Anand R KumarJames P Bradley
Mar 26, 2009·Military Medicine·James A KeeneyElisha T Powell
Jun 12, 2009·The Journal of Trauma·Clinton K MurrayDuane R Hospenthal

❮ Previous
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Citations

Jan 28, 2014·Journal of the Royal Army Medical Corps·Kate V BrownJ C Wenke
Feb 28, 2014·Journal of the Royal Army Medical Corps·Emrys Kirkman, S Watts
Dec 23, 2014·Current Fungal Infection Reports·David R Tribble, Carlos J Rodriguez
Mar 31, 2012·International Journal of Antimicrobial Agents·M K O'Shea
Mar 28, 2012·The British Journal of Surgery·Z B PerkinsN R M Tai
Mar 20, 2014·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Eileen M BulgerNorman McSwain
Oct 11, 2013·Journal of the Royal Army Medical Corps·Kate V Brown, J C Clasper
Apr 10, 2014·BMC Infectious Diseases·Kevin S AkersUNKNOWN Infectious Disease Clinical Research Program Trauma Infectious Disease Outcomes Study Group
Aug 3, 2016·Journal of the American College of Surgeons·Jeremy W CannonEric A Elster
Oct 30, 2016·JBJS Reviews·Jessica C RiveraMary Jo Pugh
Jun 8, 2018·Journal of Orthopaedic Trauma·David R TribbleUNKNOWN Trauma Infectious Disease Outcomes Study Group
Jul 19, 2018·The Journal of Trauma and Acute Care Surgery·David S KauvarThomas J Walters
Mar 23, 2019·Military Medicine·Laveta StewartDavid R Tribble
Apr 22, 2015·Clinical Orthopaedics and Related Research·Carlos J SanchezJoseph C Wenke
Sep 20, 2011·The Journal of Trauma·Clinton K MurrayUNKNOWN Prevention of Combat-Related Infections Guidelines Panel
Aug 10, 2011·The Journal of Trauma·Clinton K MurrayFrank K Butler
Aug 3, 2011·The Journal of Trauma·Arul RamasamyJon C Clasper
Mar 22, 2012·The Journal of Bone and Joint Surgery. British Volume·K V BrownJ Clasper
May 9, 2012·Journal of Orthopaedic Trauma·Maj Arul RamasamyJon C Clasper
Jul 30, 2019·Journal of Orthopaedic Trauma·Tyler E WarkentienUNKNOWN Trauma Infectious Disease Outcomes Study Group
Dec 21, 2018·Journal of Orthopaedic Trauma·Louis R LewandowskiUNKNOWN Trauma Infectious Disease Outcomes Study Group
Feb 20, 2020·Military Medicine·Laveta StewartDavid R Tribble
Dec 12, 2018·Journal of the Royal Army Medical Corps·Edward Rogers, C Wright
Dec 5, 2012·The Journal of Trauma and Acute Care Surgery·Keith PalmBrian J Eastridge
Jul 28, 2012·The Journal of Trauma and Acute Care Surgery·Lauren T GreerCharles J Fox
Sep 26, 2015·The Journal of Trauma and Acute Care Surgery·Dana M BlythClinton K Murray
Jul 27, 2017·International Orthopaedics·Kirsten KortramMichael H J Verhofstad
Nov 28, 2017·Surgical Infections·Wesley R CampbellDavid R Tribble
Mar 23, 2019·Clinical Orthopaedics and Related Research·Joseph L PetfieldUNKNOWN Trauma Infectious Disease Outcomes Study Group
Feb 4, 2014·The Journal of Trauma and Acute Care Surgery·Elaine ColeKarim Brohi
Nov 4, 2020·Prehospital and Disaster Medicine·Kenneth A EilertsenTorben Wisborg

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