Prevalence of Methicillin-Resistant Staphylococcus aureus in a Combat Support Hospital in Iraq
Abstract
Methicillin-resistant Staphylococcus aureus (MRSA) in health-care settings results in life-threatening infections. We examined the incidence of MRSA at the combat support hospital located at the Ibn Sina Hospital in Baghdad, Iraq. We compiled isolate data from 2005 to 2009 characterizing antibiotic susceptibilities, annual trends, patient populations, infection sites, and hospital locations. Approximately 46.1% of S. aureus were MRSA, with increase in numbers of yearly isolates. MRSA was isolated in higher numbers from U.S. military personnel. Non-U.S. patient isolates displayed higher antibiotic susceptibility compared to U.S. military personnel isolates. Outpatient clinic, forward operating bases, and intermediate care ward 1 isolated the most MRSA. Common isolation sites were wound and skin cultures. Community-acquired MRSA was likely present in 291 out of 303 isolates based on antibiotic susceptibility. Our data suggests that most MRSA were community-acquired with limited nosocomial spread. We recommend increases in combat support hospital molecular lab capability to rapidly identify both MRSA categories.
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Increased incidence of MRSA-associated infections in both acute and chronic wounds is well-documented.
“Increased incidence of MRSA-associated infections in both acute and chronic wounds is well-documented [3], [21], [22]”
From Interactions of Methicillin Resistant Staphylococcus aureus USA300 and Pseudomonas aeruginosa in Polymicrobial Wound Infection (2013) · cites this paper as [3]
S. aureus and P. aeruginosa are among the most common organisms isolated from both acute and chronic wounds of various etiologies.
“Staphylococcus aureus and Pseudomonas aeruginosa are among the most common organisms isolated from both acute and chronic wounds of various etiologies.”
From Interactions of Methicillin Resistant Staphylococcus aureus USA300 and Pseudomonas aeruginosa in Polymicrobial Wound Infection (2013) · cites this paper as [3]
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- Authors
- Co, E.-M., Keen, E. F., & Aldous, W. K.
- Affiliations
- Walter Reed Army Institute of Research (US)
- Brooke Army Medical Center (US)
- ORCID
- Co, Edgie-Mark
- Venue
- Military Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2011-01
- Volume
- 176
- Issue
- 1
- Pages
- 89-93
- ISSN
- 0026-4075 (ISSN-L)
- 1930-613X
- OpenAlex
- W2790417196
- Cited by
- 18
- References
- 0
- Citations by year
- 2025: 1 · 2023: 1 · 2022: 1 · 2021: 1 · 2020: 1 · 2019: 1 · 2018: 1 · 2016: 2 · 2015: 2 · 2014: 1 · 2013: 3 · 2012: 1
- FWCI
- 1.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Military Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Antimicrobial Resistance in Staphylococcus
- Health Sciences › Medicine › Infectious Diseases › Infection Control in Healthcare
- Life Sciences › Immunology and Microbiology › Applied Microbiology and Biotechnology › Antibiotic Use and Resistance
- Keywords
- methicillin-resistant Staphylococcus aureus, MRSA prevalence, combat support hospital, military personnel, antibiotic susceptibility, community-acquired MRSA, nosocomial transmission, forward operating bases
- MeSH terms
- Anti-Bacterial Agents, Cross Infection, Hospitals, Military, Humans, Iraq, Microbial Sensitivity Tests, Staphylococcal Infections, Incidence, Prevalence, Statistics, Nonparametric, Methicillin-Resistant Staphylococcus aureus
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