Acinetobacter Nares Colonization of Healthy US Soldiers
Acinetobacter Nares Colonization of Healthy US Soldiers
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健康美国士兵的鼻孔不动杆菌定植
DOI：
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发表时间：
2006
期刊：
影响因子：
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通讯作者：
C. Murray
中科院分区：
文献类型：
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作者：
Matthew E. Griffith;Michael W Ellis;C. Murray
编者按：自伊拉克和阿富汗战事爆发以来，不动杆菌属细菌已成为军事医疗机构创伤患者感染的重要原因。 1 由于微生物可能具有广谱抗菌药物耐药性，这些感染可能难以治疗。目前对这些创伤相关感染的流行病学知之甚少。关于患者如何感染这种微生物有多种理论，其中之一是这些患者在受伤前皮肤上可能就含有这种细菌。先前的研究表明，健康人的皮肤和鼻孔中可以发现不动杆菌菌种。 2,3,4 我们机构正在进行一项大型研究，检查社区获得性耐甲氧西林金黄色葡萄球菌在健康士兵鼻孔中的定植情况。我们借此机会评估该群体中是否存在不动杆菌属物种的鼻孔定植。研究参与者是从德克萨斯州萨姆休斯顿堡接受军事训练的士兵中招募的。该人群分布广泛（样本是在研究参与者从美国各地的各个训练基地抵达山姆休斯顿堡大约 3 天后获得的）、健康且不参与医疗保健。获得知情同意后（布鲁克陆军医疗中心
to the editor—Since the onset of hostilities in Iraq and Afghanistan, bacteria of the genus Acinetobacter have become an important cause of infection among trauma patients in military medical treatment facilities. 1 These infections are potentially difficult to treat because of the organism’s possible broad-spectrum antimicrobial resistance. Little is currently known about the epidemiology of these traumaassociated infections. There are several theories regarding how patients may acquire this organism, one of which is that these patients may have harbored the bacteria on their skin prior to injury. Previous studies have demonstrated that Acinetobacter species can be found colonizing the skin and nares of healthy people. 2,3,4 At our institution, a large study is underway examining community acquired methicillin-resistant Staphylococcus aureus colonization of the nares among healthy soldiers. We took this opportunity to evaluate whether nares colonization by Acinetobacter species exists in this population. Study participants were recruited from soldiers undergoing military training at Fort Sam Houston, Texas. This population was geographically diverse (samples were obtained from study participants approximately 3 days after their arrival at Fort Sam Houston from various training bases throughout the US), healthy, and not involved with health care. After informed consent was obtained (Brooke Army Medical Center