Care of Combat-Injured Personnel Based on Role of Care

See Appendix A: Recommendations to Prevent Infections Associated with Combat-related Injuries based on role of care.

- Infection prevention and control or antimicrobial utilization questions can be fielded through ic.consult.army@mail.mil.
- Ideally, Role 2 and 3 facilities should have a designated Infection Prevention and Control Officer (IPCO) as an additional duty or a full-time position if supported by manning levels. The U.S. Army holds an Infection Control in the Deployed Setting course open to all branches. Army Training Requirements and Resource System catalogs the course as 6A-F22 and U.S. Central Command requires and funds the course for Role 3 IPCOs.
- All facilities responsible for trauma care should monitor adherence to antimicrobial prophylaxis regimens as listed in the JTS guidelines for infection prevention after combat-related injuries and present rates to providers regularly. Rates should include adherence to recommended agents and duration of therapy.
- Ideally, Role 3 facilities should have a designated antimicrobial stewardship officer as an additional duty if supported by manning levels. Proposed antimicrobial stewardship measures should be discussed with an antimicrobial stewardship expert prior to implementation.