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Emergence of Multidrug Resistance in Bacteria and Impact on Antibiotic Expenditure at a Major Army Medical Center Caring for Soldiers Wounded in Iraq and Afghanistan

Published online by Cambridge University Press:  02 January 2015

Michael J. Zapor ,
Daniel Erwin ,
Goldina Erowele  and
Glenn Wortmann
Michael J. Zapor*
Affiliation:
Departments of Medicine, Infectious Disease Service, Walter Reed Army Medical Center, Washington, D.C
Daniel Erwin
Affiliation:
Pathology, Infectious Disease Service, Walter Reed Army Medical Center, Washington, D.C
Goldina Erowele
Affiliation:
Pharmacy, Infectious Disease Service, Walter Reed Army Medical Center, Washington, D.C
Glenn Wortmann
Affiliation:
Departments of Medicine, Infectious Disease Service, Walter Reed Army Medical Center, Washington, D.C
*
Infectious Disease Service, Dept. of Medicine, Walter Reed Army Medical Center, 6900 Georgia Ave., Washington, DC 20307 (Michael.Zapor@amedd.army.mil)
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Abstract

Since the invasions of Iraq and Afghanistan, the epidemiologic traits of clinical isolates at Walter Reed Army Medical Center have shifted toward drug-resistant strains of microorganisms, particularly among the gram-negative bacteria. Moreover, antibiotic prescribing patterns during this period have changed remarkably and mirror the emergence of these organisms at our institution.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 29 , Issue 7 , July 2008 , pp. 661 - 663
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2008

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