Infection Control and Prevention After Dismounted Complex Blast Injury

  • Heather C. Yun
  • Dana M. Blyth
  • Clinton K. Murray


During recent operations in Afghanistan, dismounted complex blast injuries (DCBI) have become increasingly common, and due to improvements in combat casualty care, these injuries are more survivable than they have been at any time in history. These patients are at high risk for infectious complications with infection rates as high as 50% in intensive care unit patients. The pathogens involved are often unique, including multidrug-resistant organisms and invasive fungi. This chapter summarizes the current literature on the epidemiology, microbiology, and outcomes of infectious complications in the predominantly DCBI combat casualty population and defines recommended measures for preventing these complications. These include wound management, use of antimicrobials, and both strategic and tactical infection prevention and control priorities. These recommendations are applicable throughout the continuum of casualty care with an emphasis on preventing infection beginning from the time of injury.


Combat Military Trauma Infection Prevention Wound 


Conflicts of Interest

The authors declare no conflicts of interest and no funding source used in the preparation of this manuscript.


The views expressed herein are those of the authors and do not reflect the official policy or position of Brooke Army Medical Center, the US Army Medical Department, the US Army Office of the Surgeon General, the Department of the Air Force, the Department of the Army, the Department of Defense, or the US Government.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Heather C. Yun
    • 1
    • 2
  • Dana M. Blyth
    • 1
    • 2
  • Clinton K. Murray
    • 1
    • 2
  1. 1.San Antonio Military Medical CenterJBSA-Fort Sam HoustonUSA
  2. 2.Uniformed Services University of the Health SciencesBethesdaUSA

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