ePlasty: Vol. 11
Use of Topical Negative Pressure in British Servicemen With Combat Wounds
Jowan G. Penn-Barwell, MRCS,a C. Anton Fries, MRCS,a Lesley Street, RGN,b and Steven Jeffery, EBOPRAS, FRCS(Plast)a,b

aAcademic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine (RCDM), ICT Research Park, Vincent Drive, Edgbaston, Birmingham B15 2SQ, United Kingdom; and bQueen Elizabeth Hospital Birmingham, Mindelsohn Way, Birmingham B15 2WB, United Kingdom.

Correspondence: Jowan@doctors.net.uk

Objective: The objective of this study was to characterize the use of topical negative pressure therapy in combat wounds. Methods: This study was a retrospective review of the records of patients whose wounds were managed with topical negative pressure between April 2007 and March 2008. The main outcome measure was episodes of antibiotic prescription, which was used as a surrogate marker of clinically relevant infection. Results: Of the 62 cases identified, 25 clinical notes were unavailable and were excluded from the study leaving 37 included cases. All but one of the cases was male with an average age of 29 (19-39) and New Injury Severity Score (NISS) of 21.3 (14.4-28.1). In 20 cases, topical negative pressure was changed less than once per 4.9 days on average, and in the remaining 17 cases, this was done more frequently. Comparison of the rate of antibiotic prescription between these groups reveals a significantly higher r .......