The treatment of sepsis and other complications in the trauma patient.

Abstract:

:Immediate complications of trauma and shock include right heart failure, acute respiratory distress syndrome, coagulopathy, brain edema, small bowel dysfunction, renal failure, and immune dysfunction. Nosocomial infections are also common in trauma patients. These infections are the combined result of a compromised host defense and various iatrogenic risk factors, including the use of percutaneous drainage tubes, malnutrition, the injudicious use of prophylactic antibiotics, and treatment staff hygiene. The use of prophylactic antibiotics appears to be unwarranted in head, maxillofacial, and neck injuries and is debatable in chest and soft-tissue wounds, fractures, and injuries of the peritoneal cavity. The use of antibiotics in small bowel and colon injuries is justified. Antibiotics are necessary in crush or avulsive injuries. Combination antibiotic therapy often results in multiple complications that may compound the patient's problems. Therefore, a single antibiotic with minimal side effects is the therapy of choice in the surgical intensive care unit.

journal_name

Clin Ther

journal_title

Clinical therapeutics

authors

Trunkey DD

subject

Has Abstract

pub_date

1990-01-01 00:00:00

pages

21-33

eissn

0149-2918

issn

1879-114X

journal_volume

12 Suppl B

pub_type

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    journal_title:Clinical therapeutics

    pub_type: 杂志文章,多中心研究,随机对照试验

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    更新日期:2006-12-01 00:00:00

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    journal_title:Clinical therapeutics

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    更新日期:1989-03-01 00:00:00

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    更新日期:2016-09-01 00:00:00

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    journal_title:Clinical therapeutics

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    doi:

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    更新日期:1988-01-01 00:00:00

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    journal_title:Clinical therapeutics

    pub_type: 杂志文章,评审

    doi:

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    更新日期:1993-01-01 00:00:00

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    更新日期:1997-09-01 00:00:00

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    journal_title:Clinical therapeutics

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    doi:

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    更新日期:1982-01-01 00:00:00

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    更新日期:2000-12-01 00:00:00

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    journal_title:Clinical therapeutics

    pub_type: 杂志文章,meta分析

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    更新日期:2005-11-01 00:00:00

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    pub_type: 杂志文章,评审

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    更新日期:2013-08-01 00:00:00

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    journal_title:Clinical therapeutics

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    更新日期:1988-01-01 00:00:00

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    pub_type: 临床试验,杂志文章,多中心研究

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    pub_type: 杂志文章,评审

    doi:

    authors: Greenblatt RB

    更新日期:1985-01-01 00:00:00

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    pub_type: 杂志文章,评审

    doi:

    authors: Copley-Merriman C,Lair TJ

    更新日期:1994-05-01 00:00:00