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Volume 21, Number 10—October 2015
Research

Environmental Factors Related to Fungal Wound Contamination after Combat Trauma in Afghanistan, 2009–2011

David R. TribbleComments to Author , Carlos J. Rodriguez, Amy C. Weintrob, Faraz Shaikh, Deepak Aggarwal, M. Leigh Carson, Clinton K. Murray, Penny Masuoka, on behalf of the Infectious Disease Clinical Research Program Trauma Infectious Disease Outcomes Study Group
Author affiliations: Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA (D.R. Tribble, A.C. Weintrob, F. Shaikh, D. Aggarwal, M.L. Carson, P. Masuoka); Walter Reed National Military Medical Center, Bethesda (C.J. Rodriguez, A.C. Weintrob); Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda (A.C. Weintrob, F. Shaikh, D. Aggarwal, M.L. Carson, P. Masuoka); San Antonio Military Medical Center, Joint Base San Antonio, Fort Sam Houston, Texas, USA (C.K. Murray)

Main Article

Figure 2

Geographic distribution of military personnel with wounds contaminated by mold (n = 101) and control-patients (n = 66), Afghanistan, 2009–2011. Inset shows detail view of southern Afghanistan region where most cases originated. The mold contaminated group includes 7 patients for whom cultures did not show mold growth, but were diagnosed with invasive fungal wound infections (IFIs) on the basis of histopathologic examination. Five patients with injuries sustained outside the study regions were ex

Figure 2. Geographic distribution of military personnel with wounds contaminated by mold (n = 101) and control-patients (n = 66), Afghanistan, 2009–2011. Inset shows detail view of southern Afghanistan region where most cases originated. The mold contaminated group includes 7 patients for whom cultures did not show mold growth, but were diagnosed with invasive fungal wound infections (IFIs) on the basis of histopathologic examination. Five patients with injuries sustained outside the study regions were excluded from the analysis (including 1 patient with IFI), but remain visible on the map (i.e., 1 point in western region, 2 in the southernmost point of Helmand Province below the box indicating the southern analysis region, and 2 in Zabul Province between the southern and eastern regions). Because injuries frequently occurred in close proximity, some points overlay other points. The mold contamination points are on top on the overview map and on the bottom in the enlarged inset. Higher elevation is indicated by darker brown.

Main Article

1A portion of this material was presented at the Military Health System Research Symposium, August 18–21, 2014, Fort Lauderdale, Florida, USA.

Page created: September 22, 2015
Page updated: September 22, 2015
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