Annual Surveillance Summary: Acinetobacter Species Infections in the Military Health System (MHS), 2016

Abstract

The EpiData Center Department (EDC) conducts routine surveillance of Acinetobacter species incidence and prevalence among all beneficiaries seeking care within the Military Health System (MHS). This report describes demographics, clinical characteristics, prescription practices, and antibiotic resistance patterns observed for Acinetobacter species infections in calendar year (CY) 2016. Several data sources were linked to assess a variety of descriptive and clinical factors related to Acinetobacter species infections. Health Level 7 (HL7)-formatted Composite Health Care System (CHCS) microbiology data identified Acinetobacter species infections. These infections were matched to HL7-formatted CHCS pharmacy data to assess prescription practices, the Standard Inpatient Data Record (SIDR) to determine healthcare-associated exposures, Defense Manpower Data Center (DMDC) rosters to determine burden among Department of Defense (DOD) active duty (AD) service members, and the DMDC Contingency Tracking System (CTS) to determine Department of the Navy (DON) deployment-related infections. In 2016, the Acinetobacter species incidence rate was 5.32 per 100,000 persons per year, which reflects a slight decrease from the weighted historic incidence rate. The majority of infections in 2016 were identified in the outpatient setting and manifested as wounds and skin and soft tissue infections (SSTIs). Acinetobacter baumannii-calcoaceticus complex (ABC) was the most common species isolated (27.6 ). Overall, incidence of drug-resistant Acinetobacter species remains low in the DOD (0.22 per 100,000 persons per year) and antibiotic susceptibilities are high. Many antibiotics display statistically significant ascending trends in efficacy. Current infection control practices appear effective and continued surveillance is recommended.

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Document Details

Document Type
Technical Report
Publication Date
Jun 01, 2017
Accession Number
AD1040548

Entities

People

  • Chelsea Stone
  • Uzo Chukwuma

Organizations

  • Navy and Marine Corps Public Health Center

Tags

DTIC Thesaurus Topics

  • Active Duty
  • Anti-Bacterial Agents
  • Anti-Infective Agents
  • Department Of Defense
  • Health
  • Health Care
  • Health Services
  • Hospitals
  • Infection
  • Infection Control
  • Marine Corps
  • Medical Personnel
  • Microbiology
  • Military Medicine
  • Pharmacies
  • Public Health
  • United States

Fields of Study

  • Medicine

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