Case series describing an outbreak of highly resistant vancomycin Staphylococcus aureus (possible VISA/VRSA) infections in orthopedic related procedures in Guatemala.
This is a case series describing an outbreak of VRSA/VISA associated infections in orthopedic related procedures that occurred on a medical mission trip in Antigua, Guatemala. The paper describes the clinical features, microbiology and treatment options available to treat such infections in a Third World country. It also highlights the difficulty in making an accurate diagnosis with suboptimal microbiological support.
Center for Infectious Diseases and Travel Medicine and Texas Tech University School of Medicine, 1205 N. Oregon El Paso, Texas, 79912, USA. suresh.antony@att.net.
Suresh J
SJ
Antony
D000328:Adult; D000671:Amputation, Surgical; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects*; D003131:Combined Modality Therapy; D003428:Cross Infection / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D003646:Debridement; D003906:Developing Countries; D004196:Disease Outbreaks; D005593:Fracture Fixation, Internal / Q000009:adverse effects*; D006166:Guatemala; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D008493:Medical Missions; D008826:Microbial Sensitivity Tests; D010019:Osteomyelitis / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D012086:Reoperation; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D013211:Staphylococcus aureus / Q000187:drug effects / Q000472:pathogenicity*; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D016896:Treatment Outcome; D020713:Vancomycin Resistance; D055815:Young Adult
D000900:Anti-Bacterial Agents