• Travel Med Infect Dis · Jul 2014

    Review

    Prevention of combat-related infections: antimicrobial therapy in battlefield and barrier measures in French military medical treatment facilities.

    • Audrey Mérens, Christophe Rapp, Deborah Delaune, Julien Danis, Franck Berger, and Remy Michel.
    • Biology Department and Infection Control Unit, Bégin Military Hospital, 69 avenue de Paris, 94160 Saint-Mandé, France. Electronic address: merens-a@wanadoo.fr.
    • Travel Med Infect Dis. 2014 Jul 1; 12 (4): 318-29.

    AbstractInfection is a major complication associated with combat-related injuries. Beside immobilization, wound irrigation, surgical debridement and delayed coverage, post-injury antimicrobials contribute to reduce combat-related infections, particularly those caused by bacteria of the early contamination flora. In modern warfare, bacteria involved in combat-related infections are mainly Gram-negative bacteria belonging to the late contamination flora. These bacteria are frequently resistant or multiresistant to antibiotics and spread through the deployed chain of care. This article exposes the principles of war wounds antimicrobial prophylaxis recommended in the French Armed Forces and highlights the need for high compliance to hygiene standard precautions, adapted contact precautions and judicious use of antibiotics in French deployed military medical treatment facilities (MTF).Copyright © 2014 Elsevier Ltd. All rights reserved.

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