Response to infection control challenges in the deployed setting: Operations Iraqi and Enduring Freedom

The Journal of Trauma
Duane R HospenthalW Bryan Gamble

Abstract

Infections caused by multidrug-resistant organisms (MDROs), including Acinetobacter, have complicated the care of military personnel injured in Operations Iraqi and Enduring Freedom. Cumulative data suggest that nosocomial transmission of MDROs in deployed medical treatment facilities (MTFs) has contributed to these infections. A 2008 review of deployed MTFs identified multiple factors impeding the performance of infection prevention and control (IC) practices. In response, efforts to emphasize IC basics, improve expertise, and better track MDRO colonization were pursued. Efforts to increase awareness and enhance IC in deployed MTFs were focused on educating leaders and deploying personnel, producing deployed IC resources, and standardizing level IV and V admission screening for MDRO colonization. A repeat mission in 2009 reviewed interval progress. Increased awareness and the need for emphasis on basic IC practice, including hand hygiene, use of transmission-based (isolation) precautions, and cohorting of patients, were imparted to leaders and deploying personnel through briefings, presentations, and an All Army Activities message. Enhancement of IC expertise was implemented through increased standardization of IC practice, es...Continue Reading

References

Jun 30, 2006·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Matthew E GriffithClinton K Murray
Sep 27, 2006·Journal of the American College of Surgeons·Michael C AlbrechtSteven E Wolf
Oct 14, 2006·Military Medicine·Clinton K MurrayEmmett Gourdine
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May 24, 2007·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Matthew E GriffithClinton K Murray
Jul 20, 2007·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Erica N JohnsonClinton K Murray
Mar 20, 2008·The Journal of Trauma·Duane R HospenthalJohn B Holcomb
May 31, 2008·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Glenn WortmannChristian Massire
Jun 13, 2008·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Matthew E GriffithClinton K Murray
Jun 12, 2009·The Journal of Trauma·Duane R Hospenthal, Helen K Crouch
Feb 24, 2010·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Amy C WeintrobGlenn W Wortmann

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Citations

Aug 30, 2012·The Journal of Trauma and Acute Care Surgery·Tianhong DaiMichael R Hamblin
Mar 31, 2012·International Journal of Antimicrobial Agents·M K O'Shea
Jan 9, 2013·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Joel N Maslow
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
Nov 5, 2019·Military Medicine·Alice E BarsoumianClinton K Murray
Dec 2, 2019·Military Medicine·Alice E BarsoumianClinton K Murray
Aug 10, 2011·The Journal of Trauma·Duane R Hospenthal, Clinton K Murray
Nov 28, 2017·Surgical Infections·Wesley R CampbellDavid R Tribble
Sep 7, 2018·Military Medicine·Omar SaeedMichael Kavanaugh
Sep 20, 2011·The Journal of Trauma·Duane R HospenthalUNKNOWN Prevention of Combat-Related Infections Guidelines Panel

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