Accession Number:

ADA627608

Title:

Infections in Combat Casualties During Operations Iraqi and Enduring Freedom

Descriptive Note:

Journal article

Corporate Author:

ARMY INST OF SURGICAL RESEARCH FORT SAM HOUSTON TX

Report Date:

2009-04-01

Pagination or Media Count:

8.0

Abstract:

Background Infections are a common acute and chronic complication of combat-related injuries however, no systematic attempt to assess infections associated with US combat-related injuries occurring in Iraq and Afghanistan has been conducted. The Joint Theater Trauma Registry JTTR has been established to collect injury specific medical data from casualties in Iraq and Afghanistan. Methods We reviewed the JTTR for the identification of infectious complications IC using International Classification of Diseases, 9th Revision ICD-9 coding during two phases of the wars, before and after the end of the major ground operations in Iraq 19 March May 31, 2003 and June 1, 2003 December 31, 2006. ICD-9 codes were combined into two categories anatomic or clinical syndrome and pathogen. An IC was defined as the presence of ICD-9 codes that included both anatomic or clinical syndrome and a pathogen. Results There were 425 patients evaluated in phase I and 684 in phase II with approximately one third having an IC. The most common anatomic or clinical syndrome codes were skin or wound followed by lung, and the most common pathogen code was gram-negative bacteria. The site of injury had varying rates of IC spine or back 53, head or neck 44, torso 43, and extremity 35. Injury Severity Score and certain mechanisms of injury explosive device, bomb, and landmine were associated with an IC on multivariate analysis p less than 0.01. Conclusion Infections are common after combat-related injuries. Although the JTTR can provide general information regarding infections, improved data capture and more specific clinical information is necessary to improve overall combat-related injury infection care.

Subject Categories:

  • Anatomy and Physiology
  • Medicine and Medical Research
  • Microbiology
  • Weapons Effects (Biological)
  • Military Forces and Organizations

Distribution Statement:

APPROVED FOR PUBLIC RELEASE