Clinical Orthopaedics and Related Research

, 466:1356

Multidrug-resistant Organisms in Military Wounds from Iraq and Afghanistan

  • Jason H. Calhoun
  • Clinton K. Murray
  • M. M. Manring
Symposium: Papers Presented at the 2007 Meeting of the Musculoskeletal Infection Society

DOI: 10.1007/s11999-008-0212-9

Cite this article as:
Calhoun, J.H., Murray, C.K. & Manring, M.M. Clin Orthop Relat Res (2008) 466: 1356. doi:10.1007/s11999-008-0212-9

Abstract

Mortality from battlefield wounds has historically declined, thanks to better surgical management, faster transport of casualties, and improved antibiotics. Today, one of the major challenges facing U.S. military caregivers is the presence of multidrug-resistant organisms in orthopaedic extremity wounds. The most frequently identified resistant strains of bacteria are Staphylococcus aureus, Klebsiella pneumoniae, Pseudomonas aeruginosa, and Acinetobacter calcoaceticus-baumannii complex. Overuse of broad-spectrum antibiotics may be an important factor in building resistant strains. Acinetobacter infections appear to hospital-acquired and not from an initial colonization of the injury. More research is required to give military physicians the tools they require to reduce the infection rate and defeat multidrug-resistant organisms.

Copyright information

© The Association of Bone and Joint Surgeons 2008

Authors and Affiliations

  • Jason H. Calhoun
    • 1
  • Clinton K. Murray
    • 2
  • M. M. Manring
    • 1
  1. 1.Department of Orthopaedic SurgeryUniversity of MissouriColumbiaUSA
  2. 2.Infectious Disease ServiceBrooke Army Medical CenterFort Sam HoustonUSA