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 Medjournal_title
Military medicineauthors
Dufresne GW,Wells RD,Pfaff JAdoi
10.7205/milmed.173.10.945subject
Has Abstractpub_date
2008-10-01 00:00:00pages
945-8issue
10eissn
0026-4075issn
1930-613Xjournal_volume
173pub_type
杂志文章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:
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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:
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-13-00446
更新日期:2014-07-01 00:00:00
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journal_title:Military medicine
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journal_title:Military medicine
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doi:
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journal_title:Military medicine
pub_type: 杂志文章,评审
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journal_title:Military medicine
pub_type: 杂志文章
doi:
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journal_title:Military medicine
pub_type: 杂志文章
doi:
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journal_title:Military medicine
pub_type: 杂志文章
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journal_title:Military medicine
pub_type: 杂志文章
doi:
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2001-12-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
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更新日期:2018-09-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.169.2.111
更新日期:2004-02-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00167
更新日期:2017-03-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
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journal_title:Military medicine
pub_type: 杂志文章
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更新日期:2021-01-25 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00432
更新日期:2015-03-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz462
更新日期:2020-03-02 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-13-00299
更新日期:2014-02-01 00:00:00
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journal_title:Military medicine
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journal_title:Military medicine
pub_type: 杂志文章
doi:
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journal_title:Military medicine
pub_type: 杂志文章
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-17-00068
更新日期:2017-09-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1991-04-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-12-00308
更新日期:2013-03-01 00:00:00
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journal_title:Military medicine
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更新日期:2018-11-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2002-09-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
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journal_title:Military medicine
pub_type: 杂志文章
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pub_type: 杂志文章,评审
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