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Multidrug-resistant Organisms in Military Wounds from Iraq and Afghanistan
Open accessAbstract
Mortality from battlefield wounds has historically declined, thanks to better surgical management, faster transport of casualties, and improved antibiotics. Today, one of the major challenges facing U.S. military caregivers is the presence of multidrug-resistant organisms in orthopaedic extremity wounds. The most frequently identified resistant strains of bacteria are Staphylococcus aureus, Klebsiella pneumoniae, Pseudomonas aeruginosa, and Acinetobacter calcoaceticus-baumannii complex. Overuse of broad-spectrum antibiotics may be an important factor in building resistant strains. Acinetobacter infections appear to hospital-acquired and not from an initial colonization of the injury. More research is required to give military physicians the tools they require to reduce the infection rate and defeat multidrug-resistant organisms.
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Cited by
Schooley, R. T., Biswas, B., Gill, J. J., Hernandez-Morales, A., Lancaster, J., Lessor, L., Barr, J. J., Reed, S. L., Rohwer, F., Benler, S., et al. (2017) · Antimicrobial Agents and Chemotherapy · doi:10.1128/aac.00954-17 · Cited by 1,254
Worldwide Dissemination of the blaOXA-23Carbapenemase Gene of Acinetobacter baumannii 1
Mugnier, P. D., Poirel, L., Naas, T., & Nordmann, P. (2009) · Emerging Infectious Diseases · doi:10.3201/eid1601.090852 · Cited by 431
Carbapenem-Resistant Acinetobacter baumannii and Enterobacteriaceae in South and Southeast Asia
Hsu, L.-Y., Apisarnthanarak, A., Khan, E., Suwantarat, N., Ghafur, A., & Tambyah, P. A. (2017) · Clinical Microbiology Reviews · doi:10.1128/cmr.00042-16 · Cited by 339
Mixed‐species biofilm compromises wound healing by disrupting epidermal barrier function
Roy, S., Elgharably, H., Sinha, M., Ganesh, K., Chaney, S., Mann, E., Miller, C., Khanna, S., Bergdall, V. K., Powell, H. M., et al. (2014) · The Journal of Pathology · doi:10.1002/path.4360 · Cited by 208
“These microorganisms are highly relevant, as they are typically associated with battle burn wound casualties [14].”
BackgroundMortensen, B. L., Rathi, S., Chazin, W. J., & Skaar, E. P. (2014) · Journal of Bacteriology · doi:10.1128/jb.01650-14 · Cited by 94
Metadata
- Authors
- Calhoun, J. H., Murray, C. K., & Manring, M. M.
- Venue
- Clinical Orthopaedics & Related Research
- Published
- 2008-06
- Volume
- 466
- Issue
- 6
- Pages
- 1356-1362
- ISSN
- 0009-921X (ISSN-L)
- OpenAlex
- W1971521079
- Cited by
- 187
- References
- 0
- FWCI
- 4.80
- Type
- journal article
- Language
- en
- Open access
- green
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- Calhoun, J. H., Murray, C. K., & Manring, M. M. (2008). Multidrug-resistant Organisms in Military Wounds from Iraq and Afghanistan. Clinical Orthopaedics & Related Research. https://doi.org/10.1007/s11999-008-0212-9
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