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Risk Factors of Tribble et al for Combat-Related Open Extremity Wound Infection (CEWI) After the Initial Hospitalization

Description

Tribble et al identified risk factors for infection following the initial hospital stay. These can help to identify a patient who may benefit from more aggressive management. The authors are from multiple military medical facilities in the United States and Germany.


The most common infections were:

(1) skin and soft tissue infections

(2) osteomyelitis

 

Risk factors for an open extremity wound infection:

(1) amputation or open fracture

(2) having an inpatient infection (CEWI or other)

(3) therapy with an anti-pseudomonal penicillin for >= 7 days

 

A total hospital stay <= 14 days had a higher risk for infection than a longer stay.

 

The risk of infection persists for years afterwards.


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