Association of bacterial colonization at the time of presentation to a combat support hospital in a combat zone with subsequent 30-day colonization or infection
U.S. casualties have developed multidrug-resistant (MDR) bacterial infections. A surveillance project to evaluate U.S. military patients for the presence of MDR pathogens from wounding through the first 30 days of care in the military healthcare system (MHS) was performed. U.S. military patients adm...
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| Veröffentlicht in: | Military medicine 2009-09, Vol.174 (9), p.899-903 |
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| creator | Kaspar, Robert L Griffith, Matthew E Mann, Paul B Lehman, Devon J Conger, Nicholas G Hospenthal, Duane R Murray, Clinton K |
| description | U.S. casualties have developed multidrug-resistant (MDR) bacterial infections. A surveillance project to evaluate U.S. military patients for the presence of MDR pathogens from wounding through the first 30 days of care in the military healthcare system (MHS) was performed. U.S. military patients admitted to a single combat support hospital in Iraq during June-July of 2007 had screening swabs obtained for the detection of MDR bacteria and a subsequent retrospective electronic medical records review for presence of colonization or infection in the subsequent 30 days. Screening of 74 U.S. military patients in Iraq found one colonized with methicillin-resistant Staphylococcus aureus. Fifty-six patients of these were screened for Acinetobacter in Germany and one found colonized. Of patients evacuated to the U.S., 9 developed infections. Carefully obtained screening cultures immediately after injury combined with look-back monitoring supports the role of nosocomial transmission. Consistent infection control strategies are needed for the entire MHS. |
| doi_str_mv | 10.7205/MILMED-D-04-3908 |
| format | Article |
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A surveillance project to evaluate U.S. military patients for the presence of MDR pathogens from wounding through the first 30 days of care in the military healthcare system (MHS) was performed. U.S. military patients admitted to a single combat support hospital in Iraq during June-July of 2007 had screening swabs obtained for the detection of MDR bacteria and a subsequent retrospective electronic medical records review for presence of colonization or infection in the subsequent 30 days. Screening of 74 U.S. military patients in Iraq found one colonized with methicillin-resistant Staphylococcus aureus. Fifty-six patients of these were screened for Acinetobacter in Germany and one found colonized. Of patients evacuated to the U.S., 9 developed infections. Carefully obtained screening cultures immediately after injury combined with look-back monitoring supports the role of nosocomial transmission. Consistent infection control strategies are needed for the entire MHS.</description><identifier>ISSN: 0026-4075</identifier><identifier>EISSN: 1930-613X</identifier><identifier>DOI: 10.7205/MILMED-D-04-3908</identifier><identifier>PMID: 19780364</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Acinetobacter ; Acinetobacter baumannii - isolation & purification ; Armed forces ; Bacteria ; Bacterial infections ; Bacterial Infections - epidemiology ; Bacterial Infections - microbiology ; Casualties ; Cross Infection - epidemiology ; Cross Infection - microbiology ; Disease control ; Drug Resistance, Multiple, Bacterial ; Electronic health records ; Gram-negative bacteria ; Health facilities ; Hospitals, Military ; Humans ; Injuries ; Iraq War, 2003-2011 ; Klebsiella pneumoniae - isolation & purification ; Medical records ; Methicillin Resistance ; Military health care ; Military Medicine ; Military Personnel ; Nosocomial infections ; Pathogens ; Patients ; Risk Factors ; Staphylococcus aureus ; Staphylococcus aureus - isolation & purification ; Staphylococcus infections ; Surveillance ; United States</subject><ispartof>Military medicine, 2009-09, Vol.174 (9), p.899-903</ispartof><rights>Copyright Association of Military Surgeons of the United States Sep 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-3335938f5fd0316e79d111b15c07207f765ac7c60c47bf7ce1e5c6e738e271443</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786,27931,27932</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19780364$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kaspar, Robert L</creatorcontrib><creatorcontrib>Griffith, Matthew E</creatorcontrib><creatorcontrib>Mann, Paul B</creatorcontrib><creatorcontrib>Lehman, Devon J</creatorcontrib><creatorcontrib>Conger, Nicholas G</creatorcontrib><creatorcontrib>Hospenthal, Duane R</creatorcontrib><creatorcontrib>Murray, Clinton K</creatorcontrib><title>Association of bacterial colonization at the time of presentation to a combat support hospital in a combat zone with subsequent 30-day colonization or infection</title><title>Military medicine</title><addtitle>Mil Med</addtitle><description>U.S. casualties have developed multidrug-resistant (MDR) bacterial infections. A surveillance project to evaluate U.S. military patients for the presence of MDR pathogens from wounding through the first 30 days of care in the military healthcare system (MHS) was performed. U.S. military patients admitted to a single combat support hospital in Iraq during June-July of 2007 had screening swabs obtained for the detection of MDR bacteria and a subsequent retrospective electronic medical records review for presence of colonization or infection in the subsequent 30 days. Screening of 74 U.S. military patients in Iraq found one colonized with methicillin-resistant Staphylococcus aureus. Fifty-six patients of these were screened for Acinetobacter in Germany and one found colonized. Of patients evacuated to the U.S., 9 developed infections. Carefully obtained screening cultures immediately after injury combined with look-back monitoring supports the role of nosocomial transmission. Consistent infection control strategies are needed for the entire MHS.</description><subject>Acinetobacter</subject><subject>Acinetobacter baumannii - isolation & purification</subject><subject>Armed forces</subject><subject>Bacteria</subject><subject>Bacterial infections</subject><subject>Bacterial Infections - epidemiology</subject><subject>Bacterial Infections - microbiology</subject><subject>Casualties</subject><subject>Cross Infection - epidemiology</subject><subject>Cross Infection - microbiology</subject><subject>Disease control</subject><subject>Drug Resistance, Multiple, Bacterial</subject><subject>Electronic health records</subject><subject>Gram-negative bacteria</subject><subject>Health facilities</subject><subject>Hospitals, Military</subject><subject>Humans</subject><subject>Injuries</subject><subject>Iraq War, 2003-2011</subject><subject>Klebsiella pneumoniae - isolation & purification</subject><subject>Medical records</subject><subject>Methicillin Resistance</subject><subject>Military health care</subject><subject>Military Medicine</subject><subject>Military Personnel</subject><subject>Nosocomial infections</subject><subject>Pathogens</subject><subject>Patients</subject><subject>Risk Factors</subject><subject>Staphylococcus aureus</subject><subject>Staphylococcus aureus - 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A surveillance project to evaluate U.S. military patients for the presence of MDR pathogens from wounding through the first 30 days of care in the military healthcare system (MHS) was performed. U.S. military patients admitted to a single combat support hospital in Iraq during June-July of 2007 had screening swabs obtained for the detection of MDR bacteria and a subsequent retrospective electronic medical records review for presence of colonization or infection in the subsequent 30 days. Screening of 74 U.S. military patients in Iraq found one colonized with methicillin-resistant Staphylococcus aureus. Fifty-six patients of these were screened for Acinetobacter in Germany and one found colonized. Of patients evacuated to the U.S., 9 developed infections. Carefully obtained screening cultures immediately after injury combined with look-back monitoring supports the role of nosocomial transmission. Consistent infection control strategies are needed for the entire MHS.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>19780364</pmid><doi>10.7205/MILMED-D-04-3908</doi><tpages>5</tpages></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Oxford University Press Journals All Titles (1996-Current) |
| subjects | Acinetobacter Acinetobacter baumannii - isolation & purification Armed forces Bacteria Bacterial infections Bacterial Infections - epidemiology Bacterial Infections - microbiology Casualties Cross Infection - epidemiology Cross Infection - microbiology Disease control Drug Resistance, Multiple, Bacterial Electronic health records Gram-negative bacteria Health facilities Hospitals, Military Humans Injuries Iraq War, 2003-2011 Klebsiella pneumoniae - isolation & purification Medical records Methicillin Resistance Military health care Military Medicine Military Personnel Nosocomial infections Pathogens Patients Risk Factors Staphylococcus aureus Staphylococcus aureus - isolation & purification Staphylococcus infections Surveillance United States |
| title | Association of bacterial colonization at the time of presentation to a combat support hospital in a combat zone with subsequent 30-day colonization or infection |
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