Volume 11, Number 8—August 2005
Research
Multidrug-Resistant Acinetobacter Extremity Infections in Soldiers
Kepler A. Davis*
, Kimberly A. Moran†, C. Kenneth McAllister*, and Paula J. Gray*
, Kimberly A. Moran†, C. Kenneth McAllister*, and Paula J. Gray*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.
