Accession Number:

AD1032270

Title:

Annual Surveillance Summary: Escherichia coli (E. coli) Infections in the Military Health System (MHS), 2015

Descriptive Note:

[Technical Report, Annual Report]

Corporate Author:

NAVY AND MARINE CORPS PUBLIC HEALTH CENTER PORTSMOUTH VA

Report Date:

2017-03-01

Pagination or Media Count:

35

Abstract:

The EpiData Center EDC conducts routine surveillance of Escherichia coli among all beneficiaries seeking care within the Military Health System MHS. This report describes activity in calendar year CY 2015. Health Level 7 HL7-formatted microbiology data identified E. coli infections, demographics, clinical characteristics, seasonal activity, and antibiotic resistance patterns. Infections were matched to HL7-formatted pharmacy data to assess prescription practices, the Standard Inpatient Data Record SIDR to determine healthcare-associated exposures, Defense Manpower Data Center DMDC rosters to determine burden among Department of Defense DOD active duty AD members, and the DMDC Contingency Tracking System CTS to determine Department of the Navy DON deployment-related infections. Overall, 2015 incidence rates IRs of E.coli in the MHS beneficiary and DOD active duty populations are increasing. Incidence among females was nearly 11 times higher than among males. The highest IR occurred outside the continental United States OCONUS 1,057.7 infections per 100,000 persons per year. Aligning with United States US trends, most infections were found in the urinary tract 96.2 and outpatient setting 97.7 . Drug-resistant E. coli comprised 20.7 of all E. coli infections. Nitrofurantoin and ciprofloxacin were the most commonly prescribed antibiotics. DON deployment-related infections accounted for 0.2 of prevalence infections, the majority of which were females aged 18-24 years.

Subject Categories:

  • Medicine and Medical Research
  • Microbiology

Distribution Statement:

[A, Approved For Public Release]