title: Bacteria recovered from patients admitted to a deployed U.S. military hospital in Baghdad, Iraq.
abstract: The predominant bacteria and antimicrobial susceptibilities were surveyed from a deployed, military, tertiary care facility in Baghdad, Iraq, serving U.S. troops, coalition forces, and Iraqis, from August 2003 through July 2004. We included cultures of blood, wounds, sputum, and urine, for a total of 908 cultures; 176 of these were obtained from U.S. troops. The bacteria most commonly isolated from U.S. troops were coagulase-negative staphylococci, accounting for 34% of isolates, Staphylococcus aureus (26%), and streptococcal species (11%). The 732 cultures obtained from the predominantly Iraqi population were Klebsiella pneumoniae (13%), Acinetobacter baumannii (11%), and Pseudomonas aeruginosa (10%); coagulase-negative staphylococci represented 21% of these isolates. These differences in prevalence were all statistically significant, when compared in chi2 analyses (p < 0.05). Antimicrobial susceptibility testing demonstrated broad resistance among the Gram-negative and Gram-positive bacteria.
authors.affiliation: Infectious Diseases Department, Wilford Hall US Air Force Medical Center, San Antonio, TX 78236, USA.
authors.forename: Heather C
authors.initials: HC
authors.lastname: Yun
authors.forename: Clinton K
authors.initials: CK
authors.lastname: Murray
authors.forename: Stuart A
authors.initials: SA
authors.lastname: Roop
authors.forename: Duane R
authors.initials: DR
authors.lastname: Hospenthal
authors.forename: Emmett
authors.initials: E
authors.lastname: Gourdine
authors.forename: David P
authors.initials: DP
authors.lastname: Dooley
mesh_terms: D040981:Acinetobacter baumannii / Q000187:drug effects / Q000302:isolation & purification*; D001424:Bacterial Infections / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology*; D003625:Data Collection; D024881:Drug Resistance, Bacterial; D006772:Hospitals, Military; D006801:Humans; D007493:Iraq; D007711:Klebsiella pneumoniae / Q000187:drug effects / Q000302:isolation & purification*; D008826:Microbial Sensitivity Tests; D008887:Military Medicine; D008889:Military Personnel; D011550:Pseudomonas aeruginosa / Q000187:drug effects / Q000302:isolation & purification*; D012189:Retrospective Studies; D013211:Staphylococcus aureus / Q000187:drug effects / Q000302:isolation & purification*; D014481:United States; D014857:Warfare