Army Health Systems Doctrine and Training in Relation to Antibiotics: A Systematic Review

Author:

Nichols Ryoma1,Horstman Jordan2,Nitz Iver3

Affiliation:

1. Elson S. Floyd College of Medicine, Washington State University , Spokane, WA 99202, USA

2. Kansas City University College of Osteopathic Medicine, Kansas City University , Kansas City, MO 64106, USA

3. Washington Army National Guard, Medical Detachment , Tacoma, WA 98433, USA

Abstract

ABSTRACT Introduction In the early 2000s when Tactical Combat Casualty Care was developed, the adoption of prophylactic antibiotic use was not mainstream. Back then, guidelines were derivative of civilian trauma guidelines which did not include widespread prophylactic antibiotic use. Current protocols across the DoD have embraced the use of prophylactic antibiotic use before reaching a military treatment facility as evidenced by Tactical Combat Casualty Care guidelines and several Joint Trauma System Clinical Practice Guidelines. This review intends to find trends associated with the use of antibiotics in the military setting and answer the research question: Do current Army doctrine and practices address these issues and how can they be reworked to address them if needed? Materials and Methods Methods were developed in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The primary author utilized four databases to locate articles: MEDLINE (EBSCOhost), Cochrane Central Register of Controlled Trials (Wiley), CINAHL Complete (EBSCOhost), and Embase (Elsevier). The following keywords were utilized: “Combat casualty,” “antibiotic,” “trauma,” and “prehospital.” This ultimately led to 19 articles included in the review. Results Nineteen articles were included in the final review and placed into one of the following categories: Overall antibiotic use, guideline adherence and practices, strains, and infection risk factors. Overall, the Army Health System has shown that there is room for improvement in terms of antibiotic stewardship and training regarding antibiotics. Conclusion Infectious diseases pose a substantial risk to combat wounded. The Army Health System must anticipate encountering challenges with delivering care to patients suffering infections in addition to serious combat injuries. A systematic review of the literature highlights several areas for improvement, primarily areas involving pathogen surveillance, treatment of pediatric populations, and the Army’s operational domain of training.

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health,General Medicine

Reference31 articles.

1. Antibiotics in tactical combat casualty care 2002;Butler;Mil Med,2003

2. Battlefield trauma care then and now: a decade of Tactical Combat Casualty Care;Butler;J Trauma Acute Care Surg,2012

3. Tactical Combat Casualty Care (TCCC) guidelines for medical personnel;Committee on TCCC

4. Sepsis management in prolonged field care (CPG ID:83);Joint Trauma System,2020

5. Acute traumatic wound management in the prolonged field care setting (CPG ID: 62);Joint Trauma System,2017

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3