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Healthcare Associated Infections II: Preventive Measures01:22

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Infection Prevention in the Deployed Environment.

Heather C Yun1, Clinton K Murray

  • 1Infectious Disease Service, San Antonio Military Medical Center, Joint Base San Antonio-Fort Sam Houston, Texas.

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|May 25, 2016
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Summary
This summary is machine-generated.

Combat casualties face high rates of multidrug-resistant (MDR) bacterial infections. Implementing basic infection control (IC) measures and strengthening deployed microbiology can significantly improve patient outcomes in military settings.

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Area of Science:

  • Infectious Diseases
  • Military Medicine
  • Public Health

Background:

  • Combat-injured patients experience high rates of infectious complications, often caused by multidrug-resistant (MDR) bacteria acquired nosocomially.
  • Specific MDR bacteria like Acinetobacter baumannii-calcoaceticus and extended-spectrum beta-lactamase producing Enterobacteriaceae have been identified in recent conflicts.

Purpose of the Study:

  • To review the challenges of infectious complications in combat casualties.
  • To highlight the effectiveness of basic infection control (IC) measures in austere environments.
  • To recommend strategies for mitigating the risk of MDR infections in deployed settings.

Main Methods:

  • Review of infectious complications in combat casualties from recent conflicts.
  • Analysis of interventions at Level III facilities, including infection control procedures.
  • Evaluation of existing systematic interventions and identification of ongoing vulnerabilities.

Main Results:

  • Basic infection control (IC) procedures, such as hand hygiene and antimicrobial stewardship, improve outcomes even in austere environments.
  • Despite implemented interventions, vulnerabilities in preventing and managing nosocomial infections persist.
  • Deployed microbiology capabilities and theater-level IC standard operating procedures require strengthening.

Conclusions:

  • Infection control (IC) is critical for managing combat-injured patients, particularly those with multidrug-resistant (MDR) bacterial infections.
  • Enhancing deployed microbiology, implementing theater-level IC standard operating procedures, and appointing expert IC consultants are essential.
  • A comprehensive, theater-level approach to infection control is necessary to address ongoing vulnerabilities.