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Volume 11, Number 8—August 2005


Multidrug-Resistant Acinetobacter Extremity Infections in Soldiers

Kepler A. Davis*Comments to Author , Kimberly A. Moran†, C. Kenneth McAllister*, and Paula J. Gray*
Author affiliations: *Brooke Army Medical Center, Fort Sam Houston, Texas, USA; †Walter Reed Army Medical Center, Washington, DC, USA

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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.

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