Accession Number : ADA551843


Title :   The Majority of US Combat Casualty Soft-Tissue Wounds are not Infected or Colonized Upon Arrival or during Treatment at a Continental US Military Medical Facility


Descriptive Note : Journal article


Corporate Author : NAVAL MEDICAL RESEARCH CENTER SILVER SPRING MD


Personal Author(s) : Sheppard, Forest R ; Keiser, Paul ; Craft, David W ; Gage, Fred ; Robson, Martin ; Brown, Trevor S ; Petersen, Kyle ; Sincock, Stephanie ; Kasper, Matt ; Hawksworth, Jason


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/a551843.pdf


Report Date : Jan 2010


Pagination or Media Count : 8


Abstract : BACKGROUND: The microbiology of war wounds has changed as medicine and warfare have evolved. This study was designed to detennine the microbial flora and bacterial quantification of present-day war wounds in US troops from Iraq and Afghanistan upon arrival at the National Naval Medical Center (NNMC). METHODS: Patients with extremity combat wounds treated with a vacuum-assisted wound closure device were enrolled in study. Wounds were biopsied every 48 to 72 hours with quantitative microbiology performed on all biopsies. RESULTS: Two hundred forty-two wound biopsies from 34 patients; 167 (69%) showed no growth and 75 (31%) showed positive growth. The incidence of any bacterial isolation from biopsies weekly from the time of injury was 28% (first), 31% (second), and 37% (2:third). Acinetobacter baumannii was the most prevalent isolate. CONCLUSIONS: Most soft-tissue wounds from Iraq and Afghanistan do not have significant bacterial burden upon arrival to and during initial treatment at NNMC. Improved evaluation of combat wound microbiology at all levels of care is warranted to detennine shifts in microbiology and to impact care practices.


Descriptors :   *MEDICAL SERVICES , *MICROORGANISMS , *MILITARY MEDICINE , *TISSUES(BIOLOGY) , *WOUNDS AND INJURIES , AFGHANISTAN , BACTERIA , BIOPSY , CASUALTIES , EXTREMITIES , GROWTH(PHYSIOLOGY) , IMPACT , MEDICINE , MICROBIOLOGY , MILITARY FACILITIES , MILITARY PERSONNEL , PATIENTS , PLANTS(BOTANY) , SHIFTING


Subject Categories : Personnel Management and Labor Relations
      Medicine and Medical Research
      Military Operations, Strategy and Tactics


Distribution Statement : APPROVED FOR PUBLIC RELEASE