Proceedings of 1st International Military Congress of Tropical Medicine and Sub-Saharan Diseases (Gabès, 2017)

Abstract

Acquisition risk of multi-drug resistant bacteria and gastrointestinal pathogens on deployment

Cite this: Pan African Medical Journal - Conference Proceedings. Nov 2017; 4(4): 29. doi:10.11604/pamj.cp.2017.4.29.407

Submitted: 20 Oct 17   Accepted: 03 Nov 17   Published: 17 Nov 17

Key words: Multi-drug resistant bacteria, gastrointestinal pathogens, deployment

© Hagen Frickmann et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.proceedings.panafrican-med-journal.com/conferences/2017/4/29/abstract

Corresponding author: Hagen Frickmann, Armed Forces Hospital of Hamburg, Hamburg, Germany (frickmann@bnitm.de)

This abstract is published as part of the proceedings of 1st International Military Congress of Tropical Medicine and Sub-Saharan Diseases(TUNISIA, )

Acquisition risk of multi-drug resistant bacteria and gastrointestinal pathogens on deployment

Hagen Frickmann1,&

 

1Armed Forces Hospital of Hamburg, Hamburg, Germany

 

 

&Corresponding author
Hagen Frickmann, Armed Forces Hospital of Hamburg, Hamburg, Germany

 

 

Abstract

Introduction: if hygiene conditions are poor during military deployments, soldiers are at risk of fecal-oral acquisition of enteropathogenic microorganisms. Further, stays in high endemicity settings bear the risk of colonization with multi-drug resistant bacteria. Accordingly, respective assessments were performed with German soldiers returning from deployment during returnee screenings at the Department of Tropical Medicine, German Armed Forces Hospital of Hamburg.

 

Methods: stool samples of returnees and diseased soldiers on deployment were screened by real time PCR for enteropathogenic microorganisms and by cultural approaches for multi-drug resistant bacteria.

 

Results: during acute episodes of diarrhea, diarrhea-associated Escherichia coli dominated as causative agent in European soldiers in tropical Mali. In contrast, Giardia duodenalis was the most important pathogen in returned German soldiers 8-12 weeks after deployment in Sudan. At this time point after various deployments, colonization rates with multi-drug resistant bacteria like ESBL-producing Enterobacteriaceae were also comparably low as in the healthy German population. On deployment, in contrast, respective colonization rates are considerably higher.

 

Conclusion: the spectrum of detectable agents varies depending on the time of assessment. While both pathogenic and resistant bacteria can be predominantly found on deployment, persisting protozoa seem to be a medical concern on the long term.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1st International Military Congress of Tropical Medicine and Sub-Saharan Diseases ()

Country: TUNISIA

Dates: 23 Oct 16 - 25 Oct 16

Venue:

Organizers:

Secretariat: dgsante_cmed@defense.tn

Contact person: Pr Salem Bouomrani (Salembouomrani@yahoo.fr)