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Editorial
. 2015 Aug;16(3):193-198.
doi: 10.1177/1751143715579076. Epub 2015 Jul 23.

Nosocomial infection in trauma intensive care

Jonathan Stephen Major  1 , Jessie Welbourne  2
Affiliations
Editorial

Nosocomial infection in trauma intensive care

Jonathan Stephen Major et al. J Intensive Care Soc. 2015 Aug.

Abstract

This editorial examines the epidemiology of nosocomial infection in trauma intensive care. Specifically, ventilator-associated pneumonia, central line-associated blood stream infection, and catheter-associated urinary tract infection rates are described. Two important trends are observed. Firstly, nosocomial infection rates have fallen with time. This trend is evident in all intensive care populations and is thought to be principally due to the adoption of preventative bundle strategies. Secondly, rates remain consistently higher in trauma patients than in other intensive care populations. The reasons for this are likely to be multifactorial. Recognizing the particular vulnerability of this patient group should prompt especially rigorous efforts at prevention, early diagnosis, and management.

Keywords: Intensive care; multiple trauma; nosocomial infections; pneumonia; sepsis.

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