The retrospective prevalence of community-acquired methicillin-resistant Staphylococcus aureus in soft tissue abscesses at two military level I trauma centers.

Abstract:

STUDY OBJECTIVE:Many studies have shown that community-acquired methicillin-resistant Staphylococcus aureus (CAMRSA) is a very prevalent organism. However, no data have been published to date with regard to CAMRSA prevalence in patients presenting to the emergency department (ED) of a military medical facility. Our objective is to estimate the period prevalence of CAMRSA in cases of soft tissue abscesses seen in the emergency departments of two major military hospitals. METHODS:A retrospective review of electronic records was performed from January 1, 2004 to August 10, 2005. This database was used to identify patients with the diagnosis of abscess, the procedure code for incision and drainage, and culture of wound. After data were accumulated, standard prevalence calculations were applied to determine prevalence of CAMRSA in abscesses at our emergency departments. Antibiotic susceptibilities were then evaluated with regard to the CAMRSA bacteria. RESULTS:The prevalence at our two emergency departments was 68% (751 abscesses, 220 cultured, 155 methicillin-resistant S. aureus (MRSA)-positive cultures). The prevalence at Brooke Army Medical Center and Wilford Hall Medical Center emergency departments was 70% (520 abscesses, 145 cultured, and 101 MRSA positive) and 65% (231 abscesses, 75 cultured, and 49 MRSA positive), respectively. CONCLUSION:The occurrence of CAMRSA is not isolated to the civilian population. The prevalence of CAMRSA in this population is significant, and may pose serious operational and deployment-related ramifications requiring the attention of military medical planners as well as forward medical care providers. The probability of CAMRSA infection should be considered when treating soft tissue abscesses in the military emergency department.

journal_name

Mil Med

journal_title

Military medicine

authors

Dufresne GW,Wells RD,Pfaff JA

doi

10.7205/milmed.173.10.945

subject

Has Abstract

pub_date

2008-10-01 00:00:00

pages

945-8

issue

10

eissn

0026-4075

issn

1930-613X

journal_volume

173

pub_type

杂志文章
  • A retrospective study evaluating the use of the panoramic radiograph in endodontics.

    abstract::Patients are referred to the endodontist to have root canal therapy performed to treat pulpal and periradicular diseases. Routinely, the only radiograph to accompany the patient is the periapical radiograph. This radiograph is inadequate in the detection of asymptomatic pathosis that may be present in other areas of t...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Bodey TE,Loushine RJ,West LA

    更新日期:2003-07-01 00:00:00

  • Current management of carotid atherosclerosis.

    abstract::Carotid atherosclerosis affects thousands of individuals each year. A history of transient ischemic attacks should alert the clinician to the possibility of carotid artery disease. Carotid endarterectomy is of proven benefit in both symptomatic and asymptomatic individuals, with angiographically confirmed carotid sten...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Hargraves RW,Theodore N,Pulliam MW

    更新日期:1995-03-01 00:00:00

  • Classifying U.S. Army Military Occupational Specialties using the Occupational Information Network.

    abstract:OBJECTIVES:To derive job condition scales for future studies of the effects of job conditions on soldier health and job functioning across Army Military Occupation Specialties (MOSs) and Areas of Concentration (AOCs) using Department of Labor (DoL) Occupational Information Network (O*NET) ratings. METHODS:A consolidat...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-13-00446

    authors: Gadermann AM,Heeringa SG,Stein MB,Ursano RJ,Colpe LJ,Fullerton CS,Gilman SE,Gruber MJ,Nock MK,Rosellini AJ,Sampson NA,Schoenbaum M,Zaslavsky AM,Kessler RC,Army STARRS Collaborators.

    更新日期:2014-07-01 00:00:00

  • A Case Report of Acute Renal Failure as a Result of Light-Chain-Mediated Acute Tubular Interstitial Nephritis in a 30-Year-Old Combat Veteran.

    abstract::We present a 30-year-old combat veteran with an unclear exposure history, with multiple deployments who was later diagnosed with acute renal failure as a result of light-chain deposition disease. Despite a drastic decline in kappa light chains following chemotherapy; his renal function worsened, and he progressed to e...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-17-00164

    authors: Forster BM,Hinton AP,Thurlow JS

    更新日期:2017-11-01 00:00:00

  • Overview of overseas humanitarian, disaster, and civic aid programs.

    abstract::The U.S. Department of Defense (DoD) conducts humanitarian assistance missions under the Overseas Humanitarian Disaster and Civic Aid program for the statutory purposes of training military personnel, serving the political interests of the host nation and United States, and providing humanitarian relief to foreign civ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Drifmeyer J,Llewellyn C

    更新日期:2003-12-01 00:00:00

  • High-intensity tasks with external load in military applications: a review.

    abstract::This article provides a synopsis of the limited investigations examining the impact of external load (EL) on performance of high-intensity tasks under load (HITL), EL training intervention effects on HITL performance, and injuries from EL training. Repetitive lifting tasks and initiation of locomotion, such as rapidly...

    journal_title:Military medicine

    pub_type: 杂志文章,评审

    doi:10.7205/MILMED-D-14-00079

    authors: O'Neal EK,Hornsby JH,Kelleran KJ

    更新日期:2014-09-01 00:00:00

  • Adrenocortical neoplasm disguised as a post-traumatic perinephric hematoma.

    abstract::Trauma and cancer are entities that are encountered frequently by surgeons and occasionally may exist simultaneously in certain patients. Illustrated here is the case of a man with a perinephric mass, discovered during evaluation for blunt abdominal trauma, which was originally thought to be a perinephric hematoma and...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Blake DP,Bessey PQ

    更新日期:1996-03-01 00:00:00

  • Pacemaker lead fracture associated with weightlifting: a report of two cases.

    abstract::Two cases of pacemaker lead fracture associated with weight-lifting are presented. This is a rare association which has only recently been described in the literature. In both cases, the pacemaker lead was fractured between the clavicle and the first rib, suggesting crush injury. The chest X-ray, pacemaker telemetry w...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Deering JA,Pederson DN

    更新日期:1993-12-01 00:00:00

  • Jaundice in a Service member Returning From Taiwan; Diagnostic Challenges in a Case of Acute Hepatitis E.

    abstract::When the evaluation of newly elevated liver enzymes is unrevealing, a common diagnosis of exclusion is drug-induced liver injury. A 39-year-old active duty service member who presented with jaundice after returning from a mission in Thailand was found to have an acute hepatitis and developing acute liver failure. He w...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usy272

    authors: Bush A,Sadowski B,Torres D

    更新日期:2019-05-01 00:00:00

  • Exertional myalgia syndrome associated with diminished serum ammonia elevation in ischemic exercise testing.

    abstract::A 36-year-old man with chronic severe exertional myalgias had a normal serum lactate elevation and diminished serum ammonia elevation on an ischemic forearm exercise test (IFET). The IFET is commonly performed in the evaluation of patients with complaints of exertional myalgias, cramps, and rhabdomyolysis. The finding...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Riggs JE,Schochet SS Jr,Webb RW

    更新日期:1999-09-01 00:00:00

  • Combined effects of Venezuelan equine encephalitis IIIA virus and gamma irradiation in mice.

    abstract::The combined effects of injury from exposure to ionizing radiation and the potential biological warfare agent Venezuelan equine encephalitis (VEE) virus remain largely unknown. To study these effects, 4- to 5-week-old B6D2F1/J female mice were given a sublethal whole-body 7 Gy dose of 60Co gamma-photon radiation follo...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Shoemaker MO,Tammariello R,Crise B,Bouhaouala SS,Knudson GB,Jackson WE 3rd,Ludwig GV,Smith JF

    更新日期:2001-12-01 00:00:00

  • Cost-Effectiveness Analysis of a Military Hearing Conservation Program.

    abstract:INTRODUCTION:Occupational noise threatens U.S. worker health and safety and commands a significant financial burden on state and federal government worker compensation programs. Previous studies suggest that hearing conservation programs have contributed to reduced occupational hearing loss for noise-exposed workers. M...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usx112

    authors: Garcia SL,Smith KJ,Palmer C

    更新日期:2018-09-01 00:00:00

  • Factors associated with breastfeeding intentions of African-American women at military health care facilities.

    abstract::Studies have shown that 21% to 51% of African-American women (AAW) reported breastfeeding, lagging behind Caucasian (61%-71%) and Hispanic (67%-71%) women despite breastfeeding's health benefits. This study aimed to assess AAWs "intent" to breastfeed and describe the relationship among knowledge, age, education, parit...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.169.2.111

    authors: Saunders-Goldson S,Edwards QT

    更新日期:2004-02-01 00:00:00

  • Establishing a Joint Theater Trauma System During Phase Zero Operations.

    abstract:OBJECTIVES:Military personnel risk injury due to accidents, disasters, and military threats during Phase Zero "shaping" operations. Medical facilities must be poised to respond. METHODS:The U.S. Pacific Command (PACOM) Area of Responsibility (AOR) covers more than 50% of the earth's surface; relevant Clinical Practice...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-16-00167

    authors: Walker JJ,Stockinger ZT,Chinn CG

    更新日期:2017-03-01 00:00:00

  • Changes in Physical Performance During 21 d of Military Field Training in Warfighters.

    abstract:Introduction:Few studies have reported the amount of physical activity (PA) and its associations to physical performance of warfighters during military field training (MFT). The purpose of this study was to investigate changes in neuromuscular performance and PA among male Finnish Army conscripts during a 21-d MFT and ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usx049

    authors: Ojanen T,Häkkinen K,Vasankari T,Kyröläinen H

    更新日期:2018-05-01 00:00:00

  • Previous Military Medical Exposure as a Motivator for a Medical Career.

    abstract:INTRODUCTION:A variety of factors influence the motivation to choose a medical career; however, the influence of premedical experiences on health professional trainees' choices is a neglected one. We hypothesize that medical exposure during service in the Israeli Air Force special operations forces (SOFs) has an impact...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usaa335

    authors: Manor U,Allon R,Gan-Or H,Yahal O,Benov A,Chen J

    更新日期:2021-01-25 00:00:00

  • Changes in combat task performance under increasing loads in active duty marines.

    abstract:UNLABELLED:U.S. Marines perform mission tasks under heavy loads which may compromise performance of combat tasks. However, data supporting this performance decrement are limited. PURPOSE:The aim of this study was to determine the effects of load on performance of combat-related tasks. METHODS:Subjects (N=18) ran a mo...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-14-00432

    authors: Jaworski RL,Jensen A,Niederberger B,Congalton R,Kelly KR

    更新日期:2015-03-01 00:00:00

  • The Things They Carry: Diphyllobothriasis at Sea, a Case Report.

    abstract::Diphyllobothrium, also known as the "Broad Tapeworm" or "Fish Tapeworm," is a genus of Cestoda acquired through the consumption of undercooked fish. Although infection by a Diphyllobothrium spp. in the United States is rare, it remains an important global zoonosis, with an estimated burden of approximately 20 million ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usz462

    authors: Reilly DF

    更新日期:2020-03-02 00:00:00

  • Cardiorespiratory responses induced by various military field tasks.

    abstract::Typical military tasks include load carriage, digging, and lifting loads. To avoid accumulation of fatigue, it is important to know the energy expenditure of soldiers during such tasks. The purpose of this study was to measure cardiorespiratory responses during military tasks in field conditions. Unloaded (M1) and loa...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-13-00299

    authors: Pihlainen K,Santtila M,Häkkinen K,Lindholm H,Kyröläinen H

    更新日期:2014-02-01 00:00:00

  • Stability of user-friendly blood typing kits stored under typical military field conditions.

    abstract::To help preserve in-theater strength within deployed military units, commercially available, rapid, user-friendly ABO-Rh blood typing kits were evaluated to determine their stability in storage conditions commonly encountered by the warfighter. Methods for environmental exposure testing were based on MIL-STD-810F. Whe...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed-d-00-0909

    authors: Bienek DR,Chang CK,Charlton DG

    更新日期:2009-10-01 00:00:00

  • Preparing for the JCAHO survey.

    abstract::Ready or not, here they come! The triennial visit by surveyors from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) does not have to be an occurrence that strikes fear into the heart of the chief nurse and most of the nursing staff. If properly prepared, a nursing staff can actually look forw...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Bombard CF

    更新日期:1995-07-01 00:00:00

  • Protecting military convoys in Iraq: an examination of battle injuries sustained by a mechanized battalion during Operation Iraqi Freedom II.

    abstract::Improvised explosive devices and mines pose a formidable threat to military convoys traveling in Iraq. This study evaluated battle injuries sustained by a mechanized battalion operating against this threat. The objective was to gain insight into injury profiles and prevention. In the period examined, 32 attacks injure...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.170.6.546

    authors: Gondusky JS,Reiter MP

    更新日期:2005-06-01 00:00:00

  • Antibiotic Therapy for Acute Watery Diarrhea and Dysentery.

    abstract::Diarrheal disease affects a large proportion of military personnel deployed to developing countries, resulting in decreased job performance and operational readiness. Travelers' diarrhea is self-limiting and generally resolves within 5 days; however, antibiotic treatment significantly reduces symptom severity and dura...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-17-00068

    authors: Tribble DR

    更新日期:2017-09-01 00:00:00

  • Health care for the children of Army service members: cost of alternatives.

    abstract::The United States Army is committed to providing quality health care for active-duty service members, their dependents, and retired service members. Historically, the Army has never had enough active-duty physicians to provide care for all its beneficiaries. Alternatives utilizing civilian health care providers have b...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Callahan CW Jr,Pierce JR

    更新日期:1991-04-01 00:00:00

  • Participation in outdoor recreation program predicts improved psychosocial well-being among veterans with post-traumatic stress disorder: a pilot study.

    abstract:PURPOSE:Evaluate the effectiveness of a 2-day, 3-night outdoor recreation intervention involving fly-fishing in reducing the psychological concomitants of stress among 74 veterans (M = 47.27, SD = 14.55 years) with post-traumatic stress disorder (PTSD). METHODS:Participants completed repeated assessments of attentiven...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-12-00308

    authors: Vella EJ,Milligan B,Bennett JL

    更新日期:2013-03-01 00:00:00

  • Costs for Breast Cancer Care in the Military Health System: An Analysis by Benefit Type and Care Source.

    abstract:Introduction:Breast cancer care imposes a significant financial burden to U.S. healthcare systems. Health services factors, such as insurance benefit type and care source, may impact costs to the health system. Beneficiaries in the U.S. Military Health System (MHS) have universal healthcare coverage and access to a net...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usy052

    authors: Eaglehouse YL,Manjelievskaia J,Shao S,Brown D,Hofmann K,Richard P,Shriver CD,Zhu K

    更新日期:2018-11-01 00:00:00

  • Predictors of Navy attrition. II. A demonstration of potential usefulness for screening.

    abstract::The Sailors Health Inventory Program (SHIP) questionnaire is a medical and psychosocial history questionnaire completed by all Navy recruits. This study was an investigation of the potential usefulness of the SHIP questionnaire for screening to reduce basic training attrition. The sample consisted of 66,690 Navy recru...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Larson GE,Booth-Kewley S,Ryan MA

    更新日期:2002-09-01 00:00:00

  • Military Health Provider Training and Evaluation of a Problem-Solving Intervention to Reduce Distress and Enhance Readiness Among Service Members.

    abstract:INTRODUCTION:Department of Defense (DoD) has identified problem-solving training (PST) as a promising prevention/early intervention for mental health disorders. PST is a four-session group intervention that emphasizes building problem-solving and coping skills to mitigate emotional dysregulation and the adverse effects...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usy229

    authors: Cooper DC,Bates MJ

    更新日期:2019-05-01 00:00:00

  • The clinical detection of scleral icterus: observations of multiple examiners.

    abstract::Sixty-two medical observers at various levels of medical training examined six patients for the presence or absence of scleral icterus in a double-blind survey. At a total serum bilirubin of 42.8 mmol/l (2.5 mg/dl) and 53.0 mmol/l (3.1 mg/dl), 58% (95% confidence interval [CI] 33-80%) and 68% (95% CI 46-85%) of examin...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Ruiz MA,Saab S,Rickman LS

    更新日期:1997-08-01 00:00:00

  • Overview of outcome data of potential meditation training for soldier resilience.

    abstract::In order to identify potential training to enhance comprehensive soldier fitness, this analysis searched MEDLINE via PubMed and elsewhere for 33 reasonably significant modalities, screening over 11,500 articles for relevance regarding soldier resilience. Evaluation of modalities that are exclusively educational or cog...

    journal_title:Military medicine

    pub_type: 杂志文章,评审

    doi:10.7205/milmed-d-11-00067

    authors: Rees B

    更新日期:2011-11-01 00:00:00