Volume 11, Number 8—August 2005
Multidrug-Resistant Acinetobacter Extremity Infections in Soldiers
|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.