Infection Control in Multiple Trauma. Tin M. Do, M.D. Why control infection in trauma?. Causes of death in severe trauma patients: #1. Head injury #2. Infection complications Those with infection have: Higher outpatient care needed Worse functional status outcome Prolonged hospital stay
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Tin M. Do, M.D.
#1. Head injury
#2. Infection complications
Recent Metanalysis of randomized-control trials (2010):
-- based on National Nosocomial Infections Surveillance (NNIS) System
A Six-Year Descriptive Study of Hospital-Associated Infection in Trauma Patients: Demographics, Injury Features, and Infection Patterns. Harrison et al., Surgical Infections, Aug 2007.
Time sinceType of WoundTetanus ToxoidTetanus IG
AT LEAST 3 DOSES OF TETANUS TOXOID
<5 yr All wounds -- --
5-10 yr Clean minor wound -- --
All other yes --
>10 yr All wounds yes --
UNCERTAIN VACCINATION, OR <3 DOSES OF TETANUS TOXOID
Clean minor wound yes --
All other wounds yes yes