Marine recruit adherence in a skin and soft tissue infection prevention trial: implications for recruit research and public health application.

Abstract:

:A cluster-randomized trial evaluating the effectiveness of chlorhexidine gluconate-impregnated wipes against skin and soft tissue infections (SSTIs) and colonization with methicillin-resistant Staphylococcus aureus (MRSA) was conducted among military recruits attending Officer Candidate School at Marine Corps Base Quantico, Virginia. Participants were instructed to use the wipes thrice weekly and were monitored daily for SSTI. Surveys assessed frequency of wipe use as well as knowledge and attitudes regarding MRSA SSTI. Use of chlorhexidine gluconate-impregnated wipes failed to prevent SSTI; however, study adherence was moderate. Adherence with the study regimen (defined as use of > or = 50% of the wipes) was 65% at week 2 and declined to 49% by week 6. Adherence was approximately 59% in the first two classes and declined in later classes. One-third felt that use of the wipes was disruptive. Participants were knowledgeable about MRSA SSTI prevention measures. However, only 53% agreed that MRSA commonly causes skin infections in military training facilities. Understanding adherence and its determinants is needed to optimize prevention strategies that require self-administration. Future efforts should address barriers to adherence with prevention strategies in recruit training settings.

journal_name

Mil Med

journal_title

Military medicine

authors

Schlett CD,Grandits GA,Millar EV,Whitman TJ,Tribble DR

doi

10.7205/milmed-d-12-00145

subject

Has Abstract

pub_date

2012-11-01 00:00:00

pages

1335-42

issue

11

eissn

0026-4075

issn

1930-613X

journal_volume

177

pub_type

杂志文章,随机对照试验
  • 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

  • Diagnostic accuracy of a point-of-care blood typing kit conducted by potential end users.

    abstract::The usability of a rapid point-of-care ABO-Rh blood typing kit was determined by comparing the performance of individuals with extensive medical training/experience to those with a lesser extent. Subjects were asked to use the blood typing kit with their own blood. These outcomes were compared to that listed in the su...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-12-00500

    authors: Bienek DR,Perez NM

    更新日期:2013-05-01 00:00:00

  • The effect of threshold amounts for reporting malpractice payments to the National Practitioner Data Bank: analysis using the closed claims data base of the Office of the Assistant Secretary of Defense (Health Affairs).

    abstract::The study determines the extent to which payment thresholds for reporting malpractice claims to the National Practitioner Data Bank identifies substandard health care delivery in the Department of Defense. Relevant data were available on 2,291 of 2,576 medical malpractice claims reported to the closed medical malpract...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Metter EJ,Granville RL,Kussman MJ

    更新日期:1997-04-01 00:00:00

  • Utilizing Plasma Composition Data to Help Determine Procoagulant Dynamics in Patients with Thermal Injury: A Computational Assessment.

    abstract:INTRODUCTION:The development of methods that generate individualized assessments of the procoagulant potential of burn patients could improve their treatment. Beyond its role as an essential intermediate in the formation of thrombin, factor (F)Xa has systemic effects as an agonist to inflammatory processes. In this stu...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usy397

    authors: Bravo MC,Tejiram S,McLawhorn MM,Moffatt LT,Orfeo T,Jett-Tilton M,Pusateri AE,Shupp JW,Brummel-Ziedins KE

    更新日期:2019-03-01 00:00:00

  • The Impact of Adherence to Treatment for ADHD on the Quality of Military Service - The Israeli Military Experience.

    abstract:INTRODUCTION:Attention deficit hyperactive disorder (ADHD) is prevalent in 5.9-7.1% of children and adolescents, and 5% of adults. It results in poor academic, occupational, and social functioning. Pharmacotherapy improves core symptoms; however, average adherence levels are low and decrease at 16-17 years of age, just...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usy161

    authors: Zur M,Magnezi R,Portuguese S,Reuveni I,Kedem R,Fruchter E

    更新日期:2018-09-01 00:00:00

  • Use of Pharmacy Quality Measures to Enhance Value-Based Performance Within the Military Health System.

    abstract:INTRODUCTION:As the healthcare system shifts from fee-for service toward value-driven healthcare, interest has grown in medication-related quality metrics to evaluate quality and value within the healthcare system. While the Defense Health Agency (DHA) has taken steps to align healthcare quality measures across the ent...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usz435

    authors: Costantino RC,Nau D,Neigh JJ,Hoerner PJ,Hull JR,Perfetto E

    更新日期:2020-06-08 00:00:00

  • Stability of Reconstituted Fibrinogen Concentrate in Hemostatic Function and Concentration.

    abstract:INTRODUCTION:Canadian Armed Forces adopted fibrinogen concentrate (RiaSTAP) for hemostatic resuscitation in the far-forward combat setting, given its potential benefits of reducing blood loss, blood transfusion and mortality, and its long storage stability and high portability. The current guidance recommends that RiaS...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usaa409

    authors: Peng HT,Beckett A

    更新日期:2020-11-16 00:00:00

  • Recurrent Spontaneous Pneumothorax in a 47-Year-Old Woman.

    abstract::Pneumothorax is a condition where air exists in the chest cavity, outside the lung. The causes of pneumothorax are numerous and determining the etiology can aid in treatment and prevent recurrence. We describe a 47-year-old female patient with past medical history of endometriosis who presented to the emergency room w...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usz468

    authors: Guenther TM,Gustafson JD,Pribyl SM,Wozniak CJ

    更新日期:2020-09-18 00:00:00

  • How medical students use the computer and Internet at a Turkish military medical school.

    abstract::The aim of this study was to determine how medical students use the computer and World Wide Web at a Turkish military medical school and to discuss characteristics related to this computer use. The study was conducted in 2003 in the Department of Public Health at the Gulhane Military Medical School in Ankara, Turkey. ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.169.12.976

    authors: Kir T,Ogur R,Kilic S,Tekbas OF,Hasde M

    更新日期:2004-12-01 00:00:00

  • Chemical-biological warfare: medical logistics and defense.

    abstract::In this article, the authors discuss some of the hard realities of chemical and biological warfare defense in terms of the medical and medical logistics implications. In the opinion of the authors, there are no adequate defensive measures at present which would protect troops and sailors from the effects of either che...

    journal_title:Military medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Hayes DP,Marrese M

    更新日期:1991-07-01 00:00:00

  • Burkitt's lymphoma of the testis.

    abstract::A young man evaluated for a testis tumor was found to have Burkitt's lymphoma. The presentation of Burkitt's lymphoma in the United States as a testis mass is unusual. The rapid proliferation and metastatic potential of the tumor mandates prompt evaluation and the early initiation of systemic chemotherapy. ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Rozanski TA,Castillo IC

    更新日期:1994-04-01 00:00:00

  • Crush syndrome and acute renal failure in the Marmara earthquake.

    abstract::In this study, patients with acute renal failure as a result of crush syndrome after the Marmara earthquake were evaluated retrospectively. Six hundred thirty injured patients were evaluated after the Marmara earthquake at Gülhane Military Medical Academy. Acute renal failure in association with crush syndrome develop...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Poçan S,Ozkan S,Us MH,Cakir O,Gökben M

    更新日期:2002-06-01 00:00:00

  • An Examination of Chronic Pain Indices and the Updated Posttraumatic Stress Disorder Checklist for Diagnostic and Statistical Manual of Mental-Disorders-Fifth Edition.

    abstract:INTRODUCTION:Chronic pain and post-traumatic stress disorder (PTSD) comorbidity is prevalent among veterans and is associated with increased levels of pain severity and pain-related disability. An improved understanding of the relationship between these co-occurring disorders, in addition to effective integrated treatm...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usaa529

    authors: Lehinger E,Reed DE,Nabity P,Brackins N,Villarreal R,McGeary C,Blount T,Cobos B,Jaramillo C,Eapen BC,Pugh MJ,Potter J,Peterson A,Young-McCaughan S,Houle T,McGeary DD

    更新日期:2020-12-10 00:00:00

  • The Clinical Laboratory Improvement Program: not your ordinary regulatory program.

    abstract::The Clinical Laboratory Improvement Amendments of 1988 (CLIA'88) established national standards of laboratory practice and test performance in the areas of registration and certification, inspection, proficiency testing, personnel qualifications, quality control, patient test management, and quality assurance. A memor...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Brophy MA

    更新日期:2000-07-01 00:00:00

  • Investigation of Self-Reported Musculoskeletal Injuries on Post-Deployment Health Assessment Forms for Aeromedical Evacuation Personnel.

    abstract::Musculoskeletal injuries (MSIs) are a concern for the military community because of medical expenses, possible disability, and separation from the military. This study investigated the prevalence of MSIs in deployed aeromedical evacuation (AE) populations reported on Post-Deployment Health Assessment (PDHA) forms. A s...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-14-00606

    authors: Fouts BL,Serres JL,Dukes SF,Maupin GM,Wade ME,Pohlman DM

    更新日期:2015-12-01 00:00:00

  • Yellow fever vaccine-associated viscerotropic disease.

    abstract::Yellow fever is a mosquito-transmitted hemorrhagic viral disease that is endemic to tropical regions in South America and Africa. It remains a significant health concern for deploying military personnel, accordingly vaccination is frequently performed on troops. Although the vaccine is generally administered with only...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed-d-11-00304

    authors: Rowland M,Plackett TP,Smith R

    更新日期:2012-04-01 00:00:00

  • Bystander cricothyroidotomy performed with an improvised airway.

    abstract:OBJECTIVE:We report a roadside cricothyroidotomy successfully performed with only a pocketknife and the drinking straw from a sports bottle. Our study compared the adequacy of standard medical airway devices with some readily available nonmedical items that might be used as temporary tracheostomy tubes (TT). METHODS:W...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Adams BD,Whitlock WL

    更新日期:2002-01-01 00:00:00

  • Exercise Mountain Shield, Task Force 11, and visual readiness.

    abstract::This report, in an effort to assist in the development of future operational and planning guidelines, presents data from a no-notice exercise involving an aviation brigade in Germany preparing for possible deployment to Bosnia. One hundred twenty-two soldiers (of 918) requested vision screening during predeployment pr...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Lattimore MR Jr

    更新日期:1998-02-01 00:00:00

  • Treatment of infected tibial nonunions with debridement, antibiotic beads, and the Ilizarov method.

    abstract::This study of 10 patients presents the early results of a protocol of debridement, antibiotic bead placement, and use of the Ilizarov method with a circular external fixator for treatment of infected nonunions of the tibia in a military population. The nonunions resulted from high-energy fractures in nine cases and an...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.169.9.728

    authors: McHale KA,Ross AE

    更新日期:2004-09-01 00:00:00

  • Delay in improvement of ankle-arm index and ankle waveforms after lower-extremity revascularization.

    abstract::Ankle-arm index (AAI) and pulse volume recording (PVR) are commonly used in the early postoperative period to measure the outcome after lower-extremity revascularization. They are also used in addition to duplex scan for long-term follow-up of these patients. We noticed that in some patients the AAI and/or PVR after r...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Tripathi S,Farid A,Deshmukh N

    更新日期:1997-04-01 00:00:00

  • Structured clinical interview guide for postdeployment psychological screening programs.

    abstract::Brief structured clinical interviews are a key component of the Department of Defense postdeployment health reassessment program. Such interviews are critical for recommending individuals for follow-up assessment and care. To standardize the interview process, U.S. Army Medical Research Unit-Europe developed a structu...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.173.5.411

    authors: Wright KM,Adler AB,Bliese PD,Eckford RD

    更新日期:2008-05-01 00:00:00

  • Self-Directed Violence Aboard U.S. Navy Aircraft Carriers: An Examination of General and Shipboard-Specific Risk and Protective Factors.

    abstract::Self-directed violence (SDV), which includes suicidal ideation with and without intent, suicidal preparatory behaviors and attempts with and without harm, non-suicidal self-directed violence, and completed suicide, has been a rising concern in the military. Military shipboard personnel may represent a unique subset of...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-15-00257

    authors: Saitzyk A,Vorm E

    更新日期:2016-04-01 00:00:00

  • When Exception to Policy Is Exceptional Policy: How Booking Physical Therapy Appointments Too Far in the Future May Adversely Impact Access to Care, Business Optimization, and Readiness.

    abstract:INTRODUCTION:Physical therapy (PT) is a high-volume service that treats musculoskeletal injury and improves return-to-duty rates. Our experience suggests that no-show (NS) and patient cancellation (PC) rates increase the further appointment that is booked in the future, impede access to care, and increase the healthcar...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usz287

    authors: Baker SE,Silvernail J,Scoville C,Kushner S,Mabry L,Konitzer L,Easley S,Iveson B,Sims C,Stoeker S,Gudorf G

    更新日期:2020-01-07 00:00:00

  • Dental emergency rates at two expeditionary medical support facilities supporting operations enduring and Iraqi Freedom.

    abstract::This study reports dental emergency rates and distribution of causes of dental emergencies at two expeditionary medical support facilities supporting operations Enduring Freedom/ Iraqi Freedom. A retrospective cohort analysis of 9948 soldiers deployed to Prince Sultan Air Base, Kingdom of Saudi Arabia, and 1467 soldie...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.169.7.510

    authors: Dunn WJ,Langsten RE,Flores S,Fandell JE

    更新日期:2004-07-01 00:00:00

  • When to use mesh in inguinal hernia repair.

    abstract::With people living longer today, averaging 73 years old, the type of patients with inguinal hernias are different than in the past. At the present time, to avoid the high incidence of recurrence due to the aged and weakened tissue component of the groin area, we reinforce the posterior wall of the inguinal canal with ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Chang EG

    更新日期:1991-07-01 00:00:00

  • Impact on USAF tuberculosis detection and control program given a low facility tuberculosis prevalence rate.

    abstract::Isoniazid prophylaxis is a major part of the U.S. Air Force tuberculosis (TB) screening program and is closely tied to the efforts to eliminate TB. If a facility has a low prevalence rate of TB and there is no sound epidemiological evidence to rule out a false-positive TB skin test, a higher threshold for what constit...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Popper SE,Hebrink ST,Smith DA,Stewart TB

    更新日期:1996-07-01 00:00:00

  • Dose Responses of Ibuprofen In Vitro on Platelet Aggregation and Coagulation in Human and Pig Blood Samples.

    abstract:INTRODUCTION:Ibuprofen is commonly used by warfighters in the deployed environment. This study investigated its dose effects on in vitro coagulation in human and pig blood. METHODS:Blood samples were collected from 6 normal volunteers and 6 healthy pigs and processed to make platelet-adjusted samples (100 × 10(3)/μL, ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-15-00381

    authors: Martini WZ,Rodriguez CM,Deguzman R,Guerra JB,Martin AK,Pusateri AE,Cap AP,Dubick MA

    更新日期:2016-05-01 00:00:00

  • A cross-sectional, multi-year examination of rural and urban Veterans Administration users: 2002-2006.

    abstract::We compared demographic profiles across two rural-urban classification schemes to determine whether rural-urban disparities in health status persisted among Veterans Administration (VA) users over time. Using demographic and SF-12 survey data collected from 2002 to 2006, we conducted serial cross-sectional analyses of...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed-d-09-00048

    authors: Wallace AE,MacKenzie TA,Wright SM,Weeks WB

    更新日期:2010-04-01 00:00:00

  • Are effort measures sensitive to cognitive impairment?

    abstract::The basic premise of symptom validity tests (SVTs) is that appropriate effort can be assessed because the designs of SVT measures are thought to be insensitive to all but the most extreme forms of impairment of memory. In patients with mild traumatic brain injury in particular, it is thought that failure on effort mea...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed-d-11-00168

    authors: Willis PF,Farrer TJ,Bigler ED

    更新日期:2011-12-01 00:00:00

  • Origins of the physical profile.

    abstract::This article examines how the U.S. Army came to adopt the physical profile. In 1945, the Army adopted the physical profile system that has, with some changes, survived to this day. Although the profile system does not always work smoothly, it replaced a system that was failing completely to deliver physically fit men ...

    journal_title:Military medicine

    pub_type: 历史文章,杂志文章

    doi:10.7205/MILMED-D-13-00039

    authors: Marble S

    更新日期:2013-08-01 00:00:00