Annual Surveillance Summary: Acinetobacter species Infections in the Military Health System (MHS), 2017

Abstract

The EpiData Center (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) 2017. Multiple data sources were linked to assess descriptive and clinical factors related to Acinetobacter species. 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, and the Defense Manpower Data Center (DMDC) rosters to determine burden among Department of Defense (DOD) active duty (AD) service members. Overall, incidence rates (IRs) of Acinetobacter species infections in the MHS beneficiary and DOD AD populations are decreasing. The 2017 IR among DOD active duty service members is almost double the IR rate of MHS beneficiaries (9.49 per 100,000 persons and 5.35 per 100,000 persons, respectively). The majority of Acinetobacter species infections in 2017 were identified in the outpatient setting (84.5 ) and collected from wounds and skin and soft tissue infections (SSTIs). Acinetobacter baumannii-calcoaceticus complex (ABC) was the most common species isolated (35.0 ). The prevalence of drug-resistant Acinetobacter species remains low in the DOD with only 30 cases reported overall in 2017. Many antibiotics display statistically significant ascending trends in efficacy. Current infection control practices appear effective and continued surveillance is recommended.

Open PDF

Document Details

Document Type
Technical Report
Publication Date
May 01, 2018
Accession Number
AD1060666

Entities

People

  • Jessica R. Spencer
  • Uzo Chukwuma

Organizations

  • Navy and Marine Corps Public Health Center

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

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

Fields of Study

  • Medicine

Readers

  • Medical or Health Care Field.
  • Military/Explosive Ordnance Disposal (EOD) Technology