Abstract
Drug-resistant Acinetobacter baumannii-calcoaceticus complex, Klebsiella pneumoniae, and methicillin-resistant Staphylococcus aureus colonize and infect combat casualties from Iraq and Afghanistan. We retrospectively evaluated relatedness, by pulsed-field gel electrophoresis and antibiotic susceptibility testing, of isolates colonizing and infecting casualties over 2 years. Colonizing organisms were unrelated to isolates producing later infection in up to 27% of cases; most isolates underwent change in antibiotic susceptibilities. The same is true for serial infecting isolates recovered during hospitalization.
Published by Mosby, Inc.
Publication types
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Research Support, Non-U.S. Gov't
MeSH terms
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Acinetobacter baumannii / genetics*
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Acinetobacter baumannii / isolation & purification
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Acinetobacter calcoaceticus / genetics*
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Acinetobacter calcoaceticus / isolation & purification
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Afghan Campaign 2001-
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Bacterial Typing Techniques
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Cross Infection / drug therapy
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Cross Infection / microbiology*
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Drug Resistance, Multiple, Bacterial / genetics*
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Electrophoresis, Gel, Pulsed-Field
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Hospitals, Military
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Humans
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Iraq War, 2003-2011
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Klebsiella pneumoniae / genetics*
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Klebsiella pneumoniae / isolation & purification
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Longitudinal Studies
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Methicillin-Resistant Staphylococcus aureus / genetics*
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Methicillin-Resistant Staphylococcus aureus / isolation & purification
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Microbial Sensitivity Tests
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Military Personnel*
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Retrospective Studies
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United States
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Wounds and Injuries / drug therapy
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Wounds and Injuries / microbiology*