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Acute spinal cord injury and infection with multidrug-resistant Acinetobacter calcoaceticus-baumannii complex among returning Operation Iraqi Freedom soldiers: Successful innovations in rehabilitation during isolation

Concerns about drug-resistant infectious organisms are increasing in rehabilitation facilities. Resulting isolation protocols can potentially challenge the patients’ access to medical care, psychological adaptation, mobility, and environmental interaction and therefore hinder the rehabilitation process. We report a systematic, retrospective case review of an active-duty Army sergeant who sustained a C5 American Spinal Cord Injury Association Impairment Scale A spinal cord injury while serving in Operation Iraqi Freedom. The patient’s acute rehabilitation was complicated by an Acinetobacter calcoaceticus-baumannii complex infection, in the blood and urine, contracted while in Iraq. Isolation protocols were designed to enable regular hands-on contact for proprioceptive neuromuscular facilitation, transfers, wheelchair fitting, mobility training, and environmental control. After 1 mo of comprehensive acute interdisciplinary rehabilitation, delivered in a single room on the spinal cord injury unit, the patient acquired functional skills comparable with other complete C5 tetraplegics in our unit. If a patient with spinal cord injury must be placed in isolation, it is still feasible to conduct a comprehensive interdisciplinary rehabilitation program while strictly adhering to contact isolation protocols

Keywords : Acinetobacter baumannii,Acinetobacter calcoaceticus,Acinetobacter Infections,Adult,Baltimore,blood,complications,Drug Resistance,Multiple,Bacterial,Humans,injuries,Iraq War,2003-2011,Male,Maryland,Military Personnel,Patient Care Team,Patient Isolation,Physical Therapy Modalities,prevention & control,rehabilitation,Rehabilitation Centers,Spinal Cord,Spinal Cord Injuries,, Spinal,Cord,Injury,Infection, work related upper limb disorder

Date of Publication : 2010 Apr

Authors : Recio AC;Bohart ZW;Havens SR;Stiens SA;

Organisation : International Center for Spinal Cord Injury, Hugo W. Moser Research Institute at Kennedy Krieger, Johns Hopkins School of Medicine, Baltimore, Maryland, USA

Journal of Publication : Am J Phys Med Rehabil

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/20068440

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Acute spinal cord injury and infection with multidrug-resistant Acinetobacter calcoaceticus-baumannii complex among returning Operation Iraqi Freedom soldiers Successful innovations in rehabilitation during isolation | Epidural cost uk

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