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Gram-negative bacteria from patients seeking medical advice in Stockholm after the tsunami catastrophe

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TLDR
Microbiological cultures from 229 patients seeking medical advice in Stockholm after the tsunami catastrophe of December 2004 were analysed at the Clinical Microbiology Laboratory, Karolinska University Hospital, Stockholm, Sweden and Gram-negative bacilli were the most common findings from wound cultures.
Abstract
Microbiological cultures from 229 patients seeking medical advice in Stockholm after the tsunami catastrophe of December 2004 were analysed at the Clinical Microbiology Laboratory, Karolinska University Hospital, Stockholm, Sweden. Gram-negative bacilli were the most common findings from wound cultures. Common human pathogens such as Escherichia coli, Proteus species, Klebsiella spp., and Pseudomonas aeruginosa were isolated. More rare species of Gram-negative bacilli, e.g. Myroides odoratus, Sphingomonas paucimobilis and Bergeyella zoohelcum were also isolated. Resistance towards ordinary antibiotics was more extensive compared to our Swedish reference material for Escherichia coli, Klebsiella pneumoniae, Proteus mirabilis and Acinetobacter spp., but not for Pseudomonas aeruginosa, probably reflecting that the resistant isolates were nosocomially acquired in Asia.

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Acinetobacter baumannii: Emergence of a Successful Pathogen

TL;DR: This review details the significant advances that have been made in understanding of this remarkable organism over the last 10 years, including current taxonomy and species identification, issues with susceptibility testing, mechanisms of antibiotic resistance, global epidemiology, clinical impact of infection, host-pathogen interactions, and infection control and therapeutic considerations.
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Diversity and antibiotic resistance patterns of Sphingomonadaceae isolates from drinking water.

TL;DR: In tap water and in water from dental chairs, antibiotic resistance was more prevalent than in the other samples, mainly due to the predominance of isolates of the genera Sphingomonas and Sphingobium, suggesting different paths of resistance development.
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Septic shock, pneumonia, and soft tissue infection due to Myroides odoratimimus: report of a case and review of Myroides infections.

TL;DR: A case of soft tissue infection, septic shock, and pneumonia due to M. odoratimimus in an immunocompetent male is reported, the first description of life-threatening infection caused by this organism in an immune-competent host.
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Infection After Orthopaedic Trauma: Prevention and Treatment.

TL;DR: Clinical practice guidelines to address infection prevention after combat trauma (including extremity infection) were developed in 2007 and revised in 2011, with endorsement from the Surgical Infection Society and the Infectious Disease Society of America, Nevertheless, significant challenges remain.
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Risk factors associated with Sphingomonas paucimobilis infection

TL;DR: Investigation of the microbiological and clinical features of S paucimobilis infection in southern Taiwan found that community-acquired infection, diabetes mellitus, and alcoholism were significant risk factors for primary bacteremia.
References
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Journal ArticleDOI

Multifocal cutaneous mucormycosis complicating polymicrobial wound infections in a tsunami survivor from Sri Lanka

TL;DR: A man injured in the tsunami of Dec 26, 2004, returned to Sydney for management of his soft-tissue injuries, and despite broad-spectrum antibiotics, surgical wound debridement, and vigilant wound care, his condition worsened.
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The long-distance tertiary air transfer and care of tsunami victims: injury pattern and microbiological and psychological aspects.

TL;DR: Individuals who survived their initial injuries and who were evacuated to Europe had traumatic injuries to head, chest, and limbs that were often contaminated with highly resistant bacteria.
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Tsunami lung: a necrotising pneumonia in survivors of the Asian tsunami.

TL;DR: Dalrymple argues that the UK government has long since lost the trust of the people and postulates that it can at least destroy that of the medical profession by undermining the basis of the popular trust placed in it.
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Microbiologic study of wound infections in tornado casualties.

TL;DR: Evidence is presented which favors a soil, rather than nosocomial, source for the bacteria in the wounds of the hospitalized patients, and the guidelines for treatment of tornado-induced wounds include removal of environmental debris, antitetanus prophylaxis, and delayed primary wound closure.
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Treatment of Survivors after the Tsunami

TL;DR: After a tsunami, the effects on people occur in three phases: the injuries that are incompatible with life happen in the first minutes; then, over the following hours, complications such as massive hemorrhage, hemopneumothorax, and pulmonary embolism are seen.
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