Acinetobacter Species Infections among Navy and Marine Corps Beneficiaries: 2012 Annual Report

Abstract

The EpiData Center Department (EDC) at the Navy and Marine Corps Public Health Center (NMCPHC) conducts routine surveillance of clinically significant organisms within the Department of the Navy (DON) as well as the Department of Defense (DOD). This report provides a summary of Acinetobacter species isolates in calendar year (CY) 2012 and describes the demographics, clinical characteristics, prescription practices, and antibiotic resistance patterns observed among all DOD beneficiaries as well as active duty DON service members and recruits. Acinetobacter species are associated with a large number of infections, have the ability to easily acquire resistance determinants, and quickly develop resistance to multiple antibiotics, leaving few, if any, treatment options. In calendar year (CY) 2012, the overall Acinetobacter infection rate was 5.3 per 100,000 beneficiaries in the Department of the Navy (DON) and 4.8 per 100,000 beneficiaries in the Department of Defense (DOD); both rates decreased from previous years. Acinetobacter among DON beneficiaries was most frequently identified in the outpatient setting (76.7%), from non-sterile body sites (61.3%), and among 18-24 year olds (36.0%). The most common species identified was A. baumannii (42.7%). For MDR/XDR cases, providers most commonly prescribed vancomycin, meropenem, or doxycycline. Cases with susceptibility testing results showed that, among DON beneficiaries, organisms were most susceptible to gentamicin (92.4%), followed by imipenem (91.2%), and levofloxacin (90.0%); organisms were least susceptible to ampicillin (7.0%). This report could help infection preventionists and infectious disease practitioners make informed decisions on the treatment of Acinetobacter infections. In addition, this report monitors antibiotic resistance in this organism. Understanding the current disease dynamics will help ensure military health providers have the best information possible, thus ensuring quality care and missi

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Document Details

Document Type
Technical Report
Publication Date
Nov 18, 2013
Accession Number
ADA591862

Entities

People

  • Paul Meddaugh
  • Uzo Chukwuma

Organizations

  • Navy and Marine Corps Public Health Center

Tags

DTIC Thesaurus Topics

  • Active Duty
  • Anti-Bacterial Agents
  • Anti-Infective Agents
  • Diseases And Disorders
  • Gram-Negative Bacterial Infections
  • Health
  • Health Care
  • Health Services
  • Infection
  • Marine Corps
  • Medical Personnel
  • Military Medicine
  • Pharmacies
  • Public Health
  • Therapy
  • United States
  • United States Central Command

Fields of Study

  • Medicine

Readers

  • Medical or Health Care Field.
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  • Microbial Pathology