Trauma-related infections due to cluster munitions
Trauma-related infections due to cluster munitions
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DOI：
10.1016/j.jiph.2013.05.006
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发表时间：
2013-12-01
影响因子：
6.7
通讯作者：
Yared, Nadine
中科院分区：
文献类型：
--
作者：
Fares, Youssef;El-Zaatari, Mohamad;Yared, Nadine
与创伤相关的感染仍然是冲突相关伤害的一个令人担忧且可能可以避免的并发症。在以色列在黎巴嫩南部的冲突期间，超过四百万枚子弹药被投掷到黎巴嫩南部的土地上。在这项研究中，我们将探讨子弹药和穿透剂引起的不同类型的感染。这项前瞻性研究于 2006 年至 2012 年在黎巴嫩大学医学学院各系进行。本研究样本包括 350 名受伤人员。患者遭受爆炸伤害，头部、面部、躯干、腹部、骨盆和四肢都有碎片。在研究的 350 名死者中，326 名（93.1%）为男性，24 名（6.9%）为女性。年龄从10岁到70岁不等，平均年龄27岁。在研究的 350 名患者中，68 名（19.4%）出现感染。假单胞菌、大肠杆菌、念珠菌和真菌的感染各不相同，有时会导致坏死。疫苗接种、抗生素治疗和适当的伤口冲洗必须在适当的急诊室进行。还应对坏死和污染的组织进行切除和彻底清创。应遵守 2008 年《集束弹药公约》，因为这些武器不分皂白且不成比例地伤害平民，从而违反了管理冲突的既定国际原则。 (C) 2013 年沙特本阿卜杜勒阿齐兹国王健康科学大学。由爱思唯尔有限公司出版。保留所有权利。
Trauma-related infections remain a concerning and potentially avoidable complication of conflict-related injuries. During the Israeli conflict in South Lebanon, more than four million sub-munitions were dropped over South Lebanese soil. In this study, we will explore the different types of infection caused by sub-munitions and penetrating agents. This prospective study took place from 2006 to 2012 at the Lebanese University within the Faculty of Medical Sciences' departments. This study sample consisted of 350 injured casualties. Patients suffered from blast injuries with fragmentations targeting the head, face, torso, abdomen, pelvis and extremities. Of the 350 causalities studied, 326 (93.1%) were males, and 24 (6.9%) were females. Ages varied between 10 and 70 years, with the average age being 27 years. Of the 350 patients studied, 68 (19.4%) developed infections. Infections varied between pseudomonas, Escherichia coli, Candida and fungus and sometimes led to necrosis. Vaccinations, antibiotic therapies and proper wound irrigation must be performed at appropriate emergency units. Excision and complete debridement of necrotic and contaminated tissue should also be performed. The Convention on Cluster Munitions of 2008 should be adhered to, as these weapons indiscriminately and disproportionately harm civilians, thereby violating the well-established international principles governing conflict. (C) 2013 King Saud Bin Abdulaziz University for Health Sciences. Published by Elsevier Ltd. All rights reserved.