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

Journal of Trauma - Injury, Infection and Critical Care

Volumn 69, Issue SUPPL. 1, 2010, Pages

  Brown, Kate V ^a   Murray, Clinton K ^b   Clasper, Jon C ^c  

^a US ARMY INSTITUTE OF SURGICAL RESEARCH   (United States)

^b SAN ANTONIO MILITARY MEDICAL CENTER   (United States)

^c SELLY OAK HOSPITAL   (United Kingdom)

Author keywords

Acinetobacter; British military; Combat; Combat care; Evacuation; Infection; Mangled extremity; Staphylococcus aureus

Indexed keywords

ANTIBIOTIC AGENT; EXPLOSIVE;

ACINETOBACTER; ADULT; AFGHANISTAN; ARMY; ARTICLE; BATTLE INJURY; CONVALESCENCE; DISEASE CLASSIFICATION; DISEASE COURSE; FASCIOTOMY; HUMAN; INFECTIOUS COMPLICATION; INJURY SCALE; IRAQ; LIMB AMPUTATION; LIMB INJURY; LIMB SALVAGE; NONHUMAN; OPERATING ROOM; PRIORITY JOURNAL; PSEUDOMONAS AERUGINOSA; RISK FACTOR; STAPHYLOCOCCUS AUREUS; TOURNIQUET; UNITED KINGDOM; ADOLESCENT; COMPLICATION; FOLLOW UP; HAND INJURIES; INCIDENCE; LEG INJURIES; MICROBIOLOGY; PREVALENCE; RETROSPECTIVE STUDY; SOLDIER; WAR; WOUND INFECTION; YOUNG ADULT; ANAEROBIC BACTERIUM; DISEASE REGISTRY; NOTE;

ADOLESCENT; ADULT; AFGHAN CAMPAIGN 2001-; FOLLOW-UP STUDIES; GREAT BRITAIN; HAND INJURIES; HUMANS; INCIDENCE; IRAQ WAR, 2003 -; LEG INJURIES; MILITARY PERSONNEL; PREVALENCE; RETROSPECTIVE STUDIES; WOUND INFECTION; YOUNG ADULT; IRAQ WAR, 2003-2011;

EID: 77954772798     PISSN: 00225282     EISSN: 15298809     Source Type: Journal    
DOI: 10.1097/TA.0b013e3181e4b33d     Document Type: Article

References (45)

1. CBO TESTIMONY Statement of Matthew S. Goldberg, Deputy Assistant Director for National Security Projecting the Costs to Care for Veterans of US Military Operations in Iraq and Afghanistan before the Committee on Veterans Affairs US House of Representatives October 17, 2007. Available at: http://www.cbo.gov/ ftpdocs/86xx/doc8690/10- 24-CostOfWar-Testimony.pdf. Accessed May 7, 2009.
2. American War and Military Operations Casualties: Lists and Statistics. CRS Report for Congress. Available at: http://fpc.state.gov/documents/ organization/106165.pdf. Accessed May 6, 2009.
3. Owens BD, Kragh JF Jr, Macaitis J, Svoboda SJ, Wenke JC. Characterization of extremity wounds in Operation Iraqi Freedom and Operation Enduring Freedom. J Orthop Trauma. 2007;21:254-257.
4. Owens BD, Kragh JF Jr, Wenke JC, Macaitis J, Wade CE, Holcomb JB. Combat wounds in Operation Iraqi Freedom and Operation Enduring Freedom. J Trauma. 2008;64:295-299.
5. Islinger RB, Kuklo TR, McHale KA. A review of orthopedic injuries in three recent U.S. military conflicts. Mil Med. 2000;165:463-465.
6. Mabry RL, Holcomb JB, Baker AM, et al. United States Army Rangers in Somalia: an analysis of combat casualties on an urban battlefield. J Trauma. 2000;49:515-528; discussion 528-529.
7. Hansen MO, Polly DW, McHale KA, Asplund LM. A prospective evaluation of orthopedic patients evacuated from Operations Desert Shield and Desert Storm: the Walter Reed experience. Mil Med. 1994; 159:376-380.
8. Masini BD, Waterman SM, Wenke JC, Owens BD, Hsu JR, Ficke JR. Resource utilization and disability outcome assessment of combat casualties from Operation Iraqi Freedom and Operation Enduring Freedom. J Orthop Trauma. 2009;23:261-266.
9. Ramasamy A, Harrisson S, Lasrado I, Stewart MP. A review of casualties during the Iraqi insurgency 2006-a British field hospital experience. Injury. 2009;40:493-497.
10. McLeod J, Hodgetts T, Mahoney P. Combat "Category A" calls: evaluating the pre-hospital timelines in a military trauma system. J R Army Med Corps. 2007;153:266-268.
11. Rhe P, Brown C, Martin M, et al. QuikClot use in trauma for hemorrhage control: case series of 103 documented uses. J Trauma. 2008;64:1093-1099.
12. Kragh JF Jr, Walters TJ, Baer DG, et al. Survival with emergency tourniquet use to stop bleeding in major limb trauma. Ann Surg. 2008;249:1-7.
13. Fox CJ, Gillespie DL, Cox ED, et al. Damage control resuscitation for vascular surgery in a combat support hospital. J Trauma. 2008;65:1-9.
14. Clasper J, Phillips S. Early failure of external fixation in the management of war injuries. J R Army Med Corps. 2005;151:81-86.
15. Keeling JJ, Gwinn DE, Tintle SM, Andersen RC, McGuigan FX. Short-term outcomes of severe open wartime tibial fractures treated with ring external fixations. J Bone Joint Surg Am. 2008;90:2643-2651.
16. Camuso MR. Far-forward fracture stabilization: external fixation versus splinting. J Am Acad Orthop Surg. 2006;14:S118-S123.
17. Keeney JA, Ingari JV, Mentzer KD, Powell ET. Closed intramedullary nailing of femoral shaft fractures in an echelon III facility. Mil Med. 2009;174:124-128.
18. Jackson D. Soldiers injured during the Falklands campaign 1982 sepsis in soft tissue limb wounds. J R Army Med Corps. 2007;153(Suppl 1):55-56; discussion 57.
19. Jacob E, Erpelding JM, Murphy KP. A retrospective analysis of open fractures sustained by U.S. military personnel during Operation Just Cause. Mil Med. 1992;157:552-556.
20. Murray CK, Hsu JR, Solomkin JS, et al. Prevention and management of infections associated with combat-related extremity injuries. J Trauma. 2008;64(3 Suppl):S239-S251.
21. Butler FK Jr, Holcomb JB, Giebner SD, McSwain NE, Bagian J. Tactical Combat casualty Care 2007: evolving concepts and battlefield experience. Mil Med. 2007;172:1-19.
22. Parker PJ. Pre-hospital antibiotic administration. J R Army Med Corps 2008;154:5-6.
23. Green AD, Hutley EJ. Pre-hospital administration: a response. J R Army Med Corps. 2008;154:6-9.
24. Johnson EN, Burns TC, Hayda RA, Hospenthal DR, Murray CK. Infectious complications of open type III tibial fractures among combat casualties. Clin Infect Dis. 2007;45:409-415.
25. Yun HC, Branstetter JG, Murray CK. Osteomyelitis in military personnel wounded in Iraq and Afghanistan. J Trauma. 2008;64:S163-S168.
26. Geiger S, McCormick F, Chou R, Wandel AG. War wounds: lessons learned from Operation Iraqi Freedom. Plast Reconstr Surg. 2008;122: 146-153.
27. Kumar AR, Grewal NS, Chung TL, et al. Lessons from Operation Iraqi Freedom: successful subacute reconstruction of complex lower extremity battle injuries. Plast Reconstr Surg. 2009;123:218-229.
28. Hinsley DE, Phillips SL, Clasper JS. Ballistic fractures during the 2003 Gulf Conflict-early prognosis and high complication rate. J R Army Med Corps. 2006;152:96-101.
29. Dubravko H, Zarko R, Tomislav T, Dragutin K, Vjenceslav N. External fixation in war trauma management of the extremities- experience from the war in Croatia. J Trauma. 1994;37:831-834.
30. Simchen E, Sacks T. Infection in war wounds: experience during the 1973 October War in Israel. Ann Surg. 1975;182:754-761.
31. Seidenstein M, Newman A, Tanski EV. Some clinical factors involved in the healing of war wounds. Arch Surg. 1968;96:176-178.
32. Murray CK, Wilkins K, Molter NC, et al. Infections in combat casualties during Operations Iraqi and Enduring Freedom. J Trauma. 2009;66(4 Suppl):S138-S144.
33. Gustilo RB, Mendoza RM, Williams DN. Problems in the management of type III (severe) open fractures: a new classification of type III open fractures. J Trauma. 1984;24:742-746.
34. Patzakis MJ, Wilkins J. Factors influencing infection rate in open fracture wounds. Clin Orthop Relat Res. 1989;243:36-40.
35. Gustilo RB, Gruninger RP, Davis T. Classification of type III (severe) open fractures relative to treatment and results. Orthopedics. 1987;10: 1781-1788.
36. Parrett BM, Matros E, Pribaz JJ, Orgill DP. Lower extremity trauma: trends in the management of soft-tissue reconstruction of open tibiafibula fractures. Plast Reconstr Surg. 2006;117:1315-1322; discussion 1323-11314
37. Rajasekaran S, Naresh Babu J, Dheenadhayalan J, et al. A score for predicting salvage and outcome in Gustilo type-IIIA and type-IIIB open tibial fractures. J Bone Joint Surg Br. 2006;88:1351-1360.
38. Naique SB, Pearse M, Nanchahal J. Management of severe open tibial fractures: the need for combined orthopaedic and plastic surgical treatment in specialist centres. J Bone Joint Surg Br. 2006;88:351-357.
39. Giannoudis PV, Papakostidis C, Roberts C. A review of the management of open fractures of the tibia and femur. J Bone Joint Surg Br. 2006;88:281-289.
40. Rush RM Jr, Kjorstad R, Starnes BW, Arrington E, Devine JD, Andersen CA. Application of the mangled extremity severity score in a combat setting. Mil Med. 2007;172:777-781.
41. Dufour D, Jensen SK, Owen-Smith M, et al. Surgery for Victims of War. 3rd ed. Geneva, Switzerland: International Committee of the Red Cross; 1998.
42. Klein RS, Berger SA, Yekutiel P. Wound infection during the Yom Kippur war: observations concerning antibiotic prophylaxis and therapy. Ann Surg. 1975;182:15-21.
43. Murray CK, Roop SA, Hospenthal DR, et al. Bacteriology of war wounds at the time of injury. Mil Med. 2006;171:826-829.
44. Robson MC, Heggers JP. Surgical infection. I. Single bacterial species or polymicrobic in origin. Surgery. 1969;65:608-610.
45. Heggers JP, Barnes ST, Robson MC, Ristroph JD, Omer GE Jr. Microbial flora of orthopaedic war wounds. Mil Med. 1969;134:602-603.