Accession Number : ADA617734


Title :   Early-onset Infectious Complications among Penetrating and Severe Closed Traumatic Brain Injury in Active Duty Deployed during OIF and OEF, 2008-2013


Descriptive Note : Technical rept. 1 Jan 2008-31 Dec 2013


Corporate Author : NAVY AND MARINE CORPS PUBLIC HEALTH CENTER PORTSMOUTH VA EPIDATA CENTER DEPT


Personal Author(s) : Neumann, Charlotte ; Chukwuma, Uzo


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/a617734.pdf


Report Date : Feb 2015


Pagination or Media Count : 24


Abstract : Medical advances in addition to improved body armor during Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) have greatly increased the chance of survival especially among deployment related severe closed and penetrating traumatic brain injury (TBI). However, early medical complications resulting from secondary brain injury play an important role in severe TBI patient outcomes and future survival. Early-onset infectious complications that occurred at a Level IV military treatment facility (MTF) were evaluated among active duty service members that sustained a TBI while deployed during OEF and OIF from calendar years 2008 to 2013. As a group, 14.0% of severe closed and penetrating TBI patients had at least one diagnosis indicating an early-onset infectious complication, most commonly pneumonia followed by systemic infection. However, closed TBI patients developed a greater proportion of early-onset infectious complications compared to penetrating TBI patients. Of infections caused by multidrug-resistant organisms (MDROs), MDR Acinetobacter and MRSA were the predominate pathogens. MDRO infections have the potential to further complicate the care of TBI patients.


Descriptors :   *INFECTIOUS DISEASES , *MILITARY MEDICINE , *TRAUMATIC BRAIN INJURIES , ACTIVE DUTY , CELLS(BIOLOGY) , CENTRAL NERVOUS SYSTEM , DATA ACQUISITION , DEMOGRAPHY , DEPLOYMENT , DIAGNOSIS(MEDICINE) , IRAQI WAR , MICROBIOLOGY , MILITARY PERSONNEL , MORBIDITY , NEISSERIACEAE , PATIENTS , PHYSIOLOGICAL EFFECTS , PNEUMONIA , WOUNDS AND INJURIES


Subject Categories : Medicine and Medical Research
      Microbiology
      Weapons Effects(biological)
      Logistics, Military Facilities and Supplies


Distribution Statement : APPROVED FOR PUBLIC RELEASE