Etiology and Drug Resistance Pattern of Osteomyelitis Associated with Combat-Related Injuries in Iraqi Patients


M Rahbar 1 , * , N Blackwell 2 , D Yadgarinia 3 , M Mohammadzadeh 4

1 Associated Professor, Department of Microbiology, Iranian Reference Health Laboratory, Iran

2 Mdecins Sans Frontires (MSF) Group, Iran

3 Research Center for Infectious Diseases, Shaheed Beheshti University of Medical Sciences, Iran

4 Department of Microbiology, Milad Hospital, Iran

How to Cite: Rahbar M, Blackwell N, Yadgarinia D, Mohammadzadeh M. Etiology and Drug Resistance Pattern of Osteomyelitis Associated with Combat-Related Injuries in Iraqi Patients, Shiraz E-Med J. Online ahead of Print ; 11(2):20361.


Shiraz E-Medical Journal: 11 (2); 73-78
Published Online: April 1, 2010
Article Type: Research Article
Received: October 16, 2009
Accepted: December 29, 2009


Osteomyelitis is a progressive infection of bone that results in inflammatory destruction of the bone. The aim of this study was to detemine etiological agents of osteomylitis and management of it in Iraqi Patients admitted in an Iranian Hospital. This study carried out by Doctors without Borders (MSF group) in Imam Hussein Hospital of Mehran with cooperation of Milad Hospital. Surgical debridement, bone graft, fixation and antibiotic therapy were the major management programe and. The most prevalent organisms isolated from patients included Staphylococcus aureus, E.coli and Klebseilla pneumonia. The majority of these microorganisms were resistant to third generation of cephalosporins. Colistin was the sole antibiotic which most of gram-negative rods were susceptible to it. Nearly 34 % isolates of S.aureus were resistant to methicillin .All isolates of S.aureus were susceptible to vancomycin.

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