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Volume 11, Number 8—August 2005
Research

Multidrug-Resistant Acinetobacter Extremity Infections in Soldiers

Kepler A. Davis*Comments to Author , Kimberly A. Moran†, C. Kenneth McAllister*, and Paula J. Gray*
Author affiliations: *Brooke Army Medical Center, Fort Sam Houston, Texas, USA; †Walter Reed Army Medical Center, Washington, DC, USA

Main Article

Table 2

Acinetobacter wound infection*

Patient Wound infection location Mechanism of injury MDR isolate Bacteremia Parenteral drug therapy Follow on oral antimicrobial agents Recurrent infection Follow-up, wk†
19 Right achilles tendon wound RPG blast wound to right Achilles in driver of HMMWV Yes No Imipenem 500 mg every 6 h for 5 wk No Secondary infection, infected hematoma with CNS 36
20 Left thigh wound Proximate car-bomb blast Yes No Imipenem 500 mg every 6 h for 2 wk No No 11
21 Right elbow wound RPG fire, with traumatic right arm amputation below elbow Yes No Cefazolin 1 g every 8 h for 10 d No No 92
22 Scalp wound 35% TBSA burn injury, passenger in HMMWV that hit land mine Yes No Imipenem 1 g every 8 h for 16 d No No 89
23 Hand wound 27% TBSA burn injury, passenger in HMMWV hit by RPG Yes No Imipenem 500 mg every 6 h for 14 d No No 30

*MDR, multidrug-resistant; RPG, rocket-propelled grenade; CNS, coagulase-negative Staphylococcus; TBSA, total body surface area; HMMWV, high mobility multipurpose wheeled vehicle, also known as Humvee.
†Length of follow up after completion of antimicrobial drug therapy.

Main Article

Page created: April 23, 2012
Page updated: April 23, 2012
Page reviewed: April 23, 2012
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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