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Title: Characterization of wound infections among patients injured during the 2011 Libyan conflict
Authors: Dau, A.A.
Tloba, S.
Daw, M.A.
Issue Date: 2013
Language: English
Abstract: Few studies have analysed the bacterial pathogenesis of infections associated with war-wound in the Eastern Mediterranean region. We analysed surgical wound infections of 1200 patients injured during the Libyan conflict in 2011 and admitted to the emergency services at Tripoli medical centre. Culture swabs or surgical wound debridement samples were collected and cultures were identified and tested for antimicrobial resistance. Of the 1200 patients studied, 498 [42%] were infected with at least 1 pathogen and 57 with > 2 pathogens. The most common species were Acinetobacter spp, [isolated from 144 patients], coagulase-negative staphylococci [122], Escherichia coli [107], Pseudomonas aeruginosa [92] and Klebsiella spp. [86]. A high level of resistance to the antibiotics tested was found, especially among Acinetobacter spp. Multi-drug-resistant Gram-negative bacilli were an important complicating factor in wound infections associated with war injuries among injured patients in Libya. Effective policies are needed to control and treat such infections particularly in trauma and emergency services
Description: 356 - 361
Keywords: Conflict (Psychology)
Wounds and Injuries
War
Drug Resistance, Microbial
Gram-Negative Aerobic Bacteria
Drug Resistance, Multiple, Bacterial
Culture Techniques
Subject: Wound Infection
URI: http://www.who.int/iris/handle/10665/118394
ISSN: 1020-3397
Other Identifiers: http://applications.emro.who.int/emhj/v19/04/EMHJ_2013_19_4_356_361.pdf
Appears in Collections:EMRO Journal Articles (EMHJ)



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