Infection prophylaxis

 

  • TBI pts are @ ↑ risk of hospital-aquired infxns (VAP, central line infxns, EVD infxns, etc)

  • Recommendations:

    • Early trach to ↓ mech vent days (when benefit > risk)

    • Povidone-iodine oral care not recommended to ↓ VAP

      • May ↑ risk of ARDS

    • Consider antimicrobial-impregnated catheters to prevent catheter-related infxns from EVD

 

 

Adapted from Guidelines for the Management of Severe TBI, 4th Ed., September 2016, Brain Trauma Foundation.

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