Infections in traumatised patients: A growing medico-surgical concern

Abstract

Accidents and trauma are a leading global cause of mortality in young adults. Infections are one of the most important causes of death in traumatized patients. This is because of factors related to host and those due to trauma itself. Trauma jeopardizes the host's tissue integrity and immune effector mechanisms. Severely traumatized patients admitted to the ICUs are prone to get nosocomial infections due to open wounds and indwelling life saving devices. Massive blood loss also impairs the distribution of polymorphs, complement and antibiotics to the damaged tissues. Finally, diagnosis of infections in traumatized patients poses a challenge to clinicians due to various factors.

Infection in the patients with isolated head injury: risk factors and the impact on treatment cost

“…Literatüre baktığımızda enfeksiyon gelişen KT hastalarında ölüm sıklığının, enfekte olmayan grubun 5 katı olduğunu görmekteyiz. [11] Çalışmamızda enfeksiyon gelişen 54…”

Effecting Factors of Outcome in Head Injury

“…Hastane enfeksiyonlarının hastanede ölüm oranları üzerindeki olumsuz etkileri bilinen bir gerçek olup, [26,35] bu çalışmada da bu bilgi güçlü bir şekilde doğrulandı. Enfeksiyon gelişen olgularda ölüm oranı gelişmeyenlere göre 4 ila 8 kat daha fazla bulundu.…”

Mortality due to septicemia at a level 1 Indian trauma care centre: An epidemiological analysis

“…[1,2] Trauma victims are usually middle-aged males in their economically productive age. [3] Immediate mortality in trauma patients is usually due to trauma-related factors viz. head injury and haemorrhage while infections are the main contributors of fatality in patients who survive the initial 5 days of trauma.…”

“…head injury and haemorrhage while infections are the main contributors of fatality in patients who survive the initial 5 days of trauma. [2][3][4] This is due to the critical condition of the patients, who are on multiple invasive devices, which acts as a nidus for infections. [3] These may be inserted in emergency, often neglecting aseptic precautions.…”

“…[2][3][4] This is due to the critical condition of the patients, who are on multiple invasive devices, which acts as a nidus for infections. [3] These may be inserted in emergency, often neglecting aseptic precautions. Because most of the trauma victims are young adults, there is a great concern to save them.…”