Demographics and Clinical Characteristics of Patients With Extensively Drug-Resistant Infections Admitted May 2018–February 2020 in Mosul, Iraq
| No. . | Sex . | Age, y . | OPD Admission, No. . | Nature of Injury . | Site of Injury . | Infection Type . | Antibiotics Provided (All IV) . | Treatment Duration, d . | Comorbidities . | Radiology . | LOS, d . | Debridement, No. . | Outcome . |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | M | 24 | 10 | Road traffic injury | Lower limb | Polymicrobial | Vancomycin, 1 g; imipenem, 1 g; gentamycin, 280 mg; colistin, 9 000 000-IU loading dose switched to 4 500 000 | 8 | None | Osteomyelitis | 30 | 14 | Cured |
| 2 | M | 30 | NA | Bedsore | Back | Polymicrobial | Levofloxacin, 500 mg; amikacin, 750 mg | 13 | None | No bone involvement | 45 | 3 | Uncured |
| 3 | M | 32 | NA | Bedsore | Back | Polymicrobial | Amikacin, 1 g; ceftriaxone, 2 g | 78 | Neurologic disordera | No bone involvement | 120 | 3 | Died |
| 4 | F | 69 | NA | Diabetic foot | Foot | Polymicrobial | Gentamycin, 160 mg; cefazolin, 1 g; metronidazole, 500 mg; ceftriaxone, 2 g | …b | Diabetes | Osteomyelitis | 44 | 8 | Cured |
| 5 | M | 14 | NA | Bedsore | Lumbar area | Monomicrobial | None | … | None | No bone involvement | 72 | 4 | Uncured |
| 6 | F | 34 | 1 | Suicidal attempt | Forearm | Polymicrobial | None | … | None | No fracture or osteomyelitis | 18 | 4 | Cured |
| 7 | F | 52 | 2 | Blast injury | Iliac region | Polymicrobial | None | … | Diabetes and hypertension | Osteomyelitis | 22 | 2 | Cured |
| 8 | M | 17 | NA | Shell injury | Sacrococcygeal | Polymicrobial | Imipenem, 500 mg; vancomycin, 1 g; amikacin, 1 g | 8 | Neurologic disordera | No bone involvement | 20 | 2 | Uncured |
| 9 | M | 29 | 8 | Electrical burn | Hand | Polymicrobial | None | … | None | Foot amputation; no bone involvement | 45 | 5 | Cured |
| 10 | M | 8 | 20 | Road traffic injury | Foot | Monomicrobial | None | … | None | No fracture or bone involvement | 22 | 7 | Cured |
| 11 | M | 42 | 19 | Diabetic foot | Thigh | Monomicrobial | None | … | Diabetes and hypertension | No bone involvement | 189 | 9 | Cured |
| 12 | M | 13 | 7 | Bedsore | Lumber back | Polymicrobial | None | … | Neurologic disordera | Osteomyelitis | 9 | 3 | Uncured |
| No. . | Sex . | Age, y . | OPD Admission, No. . | Nature of Injury . | Site of Injury . | Infection Type . | Antibiotics Provided (All IV) . | Treatment Duration, d . | Comorbidities . | Radiology . | LOS, d . | Debridement, No. . | Outcome . |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | M | 24 | 10 | Road traffic injury | Lower limb | Polymicrobial | Vancomycin, 1 g; imipenem, 1 g; gentamycin, 280 mg; colistin, 9 000 000-IU loading dose switched to 4 500 000 | 8 | None | Osteomyelitis | 30 | 14 | Cured |
| 2 | M | 30 | NA | Bedsore | Back | Polymicrobial | Levofloxacin, 500 mg; amikacin, 750 mg | 13 | None | No bone involvement | 45 | 3 | Uncured |
| 3 | M | 32 | NA | Bedsore | Back | Polymicrobial | Amikacin, 1 g; ceftriaxone, 2 g | 78 | Neurologic disordera | No bone involvement | 120 | 3 | Died |
| 4 | F | 69 | NA | Diabetic foot | Foot | Polymicrobial | Gentamycin, 160 mg; cefazolin, 1 g; metronidazole, 500 mg; ceftriaxone, 2 g | …b | Diabetes | Osteomyelitis | 44 | 8 | Cured |
| 5 | M | 14 | NA | Bedsore | Lumbar area | Monomicrobial | None | … | None | No bone involvement | 72 | 4 | Uncured |
| 6 | F | 34 | 1 | Suicidal attempt | Forearm | Polymicrobial | None | … | None | No fracture or osteomyelitis | 18 | 4 | Cured |
| 7 | F | 52 | 2 | Blast injury | Iliac region | Polymicrobial | None | … | Diabetes and hypertension | Osteomyelitis | 22 | 2 | Cured |
| 8 | M | 17 | NA | Shell injury | Sacrococcygeal | Polymicrobial | Imipenem, 500 mg; vancomycin, 1 g; amikacin, 1 g | 8 | Neurologic disordera | No bone involvement | 20 | 2 | Uncured |
| 9 | M | 29 | 8 | Electrical burn | Hand | Polymicrobial | None | … | None | Foot amputation; no bone involvement | 45 | 5 | Cured |
| 10 | M | 8 | 20 | Road traffic injury | Foot | Monomicrobial | None | … | None | No fracture or bone involvement | 22 | 7 | Cured |
| 11 | M | 42 | 19 | Diabetic foot | Thigh | Monomicrobial | None | … | Diabetes and hypertension | No bone involvement | 189 | 9 | Cured |
| 12 | M | 13 | 7 | Bedsore | Lumber back | Polymicrobial | None | … | Neurologic disordera | Osteomyelitis | 9 | 3 | Uncured |
Abbreviations: d, days; F, female; IV, intravenous; LOS, length of stay; M, male; NA, not applicable; OPD, outpatient department; y, years.
aParaplegia or spinal cord injury.
bDuration of antibiotic treatment missing for patient 4.
Demographics and Clinical Characteristics of Patients With Extensively Drug-Resistant Infections Admitted May 2018–February 2020 in Mosul, Iraq
| No. . | Sex . | Age, y . | OPD Admission, No. . | Nature of Injury . | Site of Injury . | Infection Type . | Antibiotics Provided (All IV) . | Treatment Duration, d . | Comorbidities . | Radiology . | LOS, d . | Debridement, No. . | Outcome . |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | M | 24 | 10 | Road traffic injury | Lower limb | Polymicrobial | Vancomycin, 1 g; imipenem, 1 g; gentamycin, 280 mg; colistin, 9 000 000-IU loading dose switched to 4 500 000 | 8 | None | Osteomyelitis | 30 | 14 | Cured |
| 2 | M | 30 | NA | Bedsore | Back | Polymicrobial | Levofloxacin, 500 mg; amikacin, 750 mg | 13 | None | No bone involvement | 45 | 3 | Uncured |
| 3 | M | 32 | NA | Bedsore | Back | Polymicrobial | Amikacin, 1 g; ceftriaxone, 2 g | 78 | Neurologic disordera | No bone involvement | 120 | 3 | Died |
| 4 | F | 69 | NA | Diabetic foot | Foot | Polymicrobial | Gentamycin, 160 mg; cefazolin, 1 g; metronidazole, 500 mg; ceftriaxone, 2 g | …b | Diabetes | Osteomyelitis | 44 | 8 | Cured |
| 5 | M | 14 | NA | Bedsore | Lumbar area | Monomicrobial | None | … | None | No bone involvement | 72 | 4 | Uncured |
| 6 | F | 34 | 1 | Suicidal attempt | Forearm | Polymicrobial | None | … | None | No fracture or osteomyelitis | 18 | 4 | Cured |
| 7 | F | 52 | 2 | Blast injury | Iliac region | Polymicrobial | None | … | Diabetes and hypertension | Osteomyelitis | 22 | 2 | Cured |
| 8 | M | 17 | NA | Shell injury | Sacrococcygeal | Polymicrobial | Imipenem, 500 mg; vancomycin, 1 g; amikacin, 1 g | 8 | Neurologic disordera | No bone involvement | 20 | 2 | Uncured |
| 9 | M | 29 | 8 | Electrical burn | Hand | Polymicrobial | None | … | None | Foot amputation; no bone involvement | 45 | 5 | Cured |
| 10 | M | 8 | 20 | Road traffic injury | Foot | Monomicrobial | None | … | None | No fracture or bone involvement | 22 | 7 | Cured |
| 11 | M | 42 | 19 | Diabetic foot | Thigh | Monomicrobial | None | … | Diabetes and hypertension | No bone involvement | 189 | 9 | Cured |
| 12 | M | 13 | 7 | Bedsore | Lumber back | Polymicrobial | None | … | Neurologic disordera | Osteomyelitis | 9 | 3 | Uncured |
| No. . | Sex . | Age, y . | OPD Admission, No. . | Nature of Injury . | Site of Injury . | Infection Type . | Antibiotics Provided (All IV) . | Treatment Duration, d . | Comorbidities . | Radiology . | LOS, d . | Debridement, No. . | Outcome . |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | M | 24 | 10 | Road traffic injury | Lower limb | Polymicrobial | Vancomycin, 1 g; imipenem, 1 g; gentamycin, 280 mg; colistin, 9 000 000-IU loading dose switched to 4 500 000 | 8 | None | Osteomyelitis | 30 | 14 | Cured |
| 2 | M | 30 | NA | Bedsore | Back | Polymicrobial | Levofloxacin, 500 mg; amikacin, 750 mg | 13 | None | No bone involvement | 45 | 3 | Uncured |
| 3 | M | 32 | NA | Bedsore | Back | Polymicrobial | Amikacin, 1 g; ceftriaxone, 2 g | 78 | Neurologic disordera | No bone involvement | 120 | 3 | Died |
| 4 | F | 69 | NA | Diabetic foot | Foot | Polymicrobial | Gentamycin, 160 mg; cefazolin, 1 g; metronidazole, 500 mg; ceftriaxone, 2 g | …b | Diabetes | Osteomyelitis | 44 | 8 | Cured |
| 5 | M | 14 | NA | Bedsore | Lumbar area | Monomicrobial | None | … | None | No bone involvement | 72 | 4 | Uncured |
| 6 | F | 34 | 1 | Suicidal attempt | Forearm | Polymicrobial | None | … | None | No fracture or osteomyelitis | 18 | 4 | Cured |
| 7 | F | 52 | 2 | Blast injury | Iliac region | Polymicrobial | None | … | Diabetes and hypertension | Osteomyelitis | 22 | 2 | Cured |
| 8 | M | 17 | NA | Shell injury | Sacrococcygeal | Polymicrobial | Imipenem, 500 mg; vancomycin, 1 g; amikacin, 1 g | 8 | Neurologic disordera | No bone involvement | 20 | 2 | Uncured |
| 9 | M | 29 | 8 | Electrical burn | Hand | Polymicrobial | None | … | None | Foot amputation; no bone involvement | 45 | 5 | Cured |
| 10 | M | 8 | 20 | Road traffic injury | Foot | Monomicrobial | None | … | None | No fracture or bone involvement | 22 | 7 | Cured |
| 11 | M | 42 | 19 | Diabetic foot | Thigh | Monomicrobial | None | … | Diabetes and hypertension | No bone involvement | 189 | 9 | Cured |
| 12 | M | 13 | 7 | Bedsore | Lumber back | Polymicrobial | None | … | Neurologic disordera | Osteomyelitis | 9 | 3 | Uncured |
Abbreviations: d, days; F, female; IV, intravenous; LOS, length of stay; M, male; NA, not applicable; OPD, outpatient department; y, years.
aParaplegia or spinal cord injury.
bDuration of antibiotic treatment missing for patient 4.
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