RT Book, Section
A1 West, Michaela A.
A1 Cripps, Michael W.
A2 Moore, Ernest E.
A2 Feliciano, David V.
A2 Mattox, Kenneth L.
SR Print(0)
ID 1147415511
T1 Infections
T2 Trauma, 8e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071847292
LK accesssurgery.mhmedical.com/content.aspx?aid=1147415511
RD 2024/04/17
AB Death  after  traumatic  injury  has  classically  been  described  in  terms  of  a  trimodal  distribution.  Immediate  and  acute  (<24  hours)  deaths  usually  result  from  uncontrolled  hemorrhage,  but  infections  and  multiple  organ  dysfunction  syndrome,  which  often  arise  from  infection,  are  responsible  for  a  significant  proportion  of  late  deaths.  Indeed,  infection  is  responsible  for  most  deaths  in  patients  who  survive  longer  than  48  hours  after  trauma.1  Trauma-related  infections  can  be  divided  into  those  that  result  directly  from  the  injury  (eg,  due  to  contamination  that  occurs  in  conjunction  with  the  traumatic  injury)  and  nosocomial  infections  that  arise  in  the  health  care  setting  in  conjunction  with  treatment  of  the  injury.  The  pathogens  involved  can  be  exogenous  or  endogenous  bacteria,  depending  on  the  mechanism  of  injury  and/or  the  iatrogenic  cause.