The US Military Health System: Promoting Readiness And Providing Health Care

2019 ◽  
Vol 38 (8) ◽  
pp. 1259-1267
Author(s):  
Terri Tanielian ◽  
Carrie Farmer
Keyword(s):  
Health Care ◽  
Health System ◽  
Military Health System ◽  
Military Health ◽  
Us Military ◽  
The Us

scholarly journals An Overview of the Molecular Epidemiology of Carbapenemase-Producing Bacteria in the US Military Health System

2015 ◽  
Vol 2 (suppl_1) ◽  
Author(s):  
Emil Lesho ◽  
Mary Hinkle ◽  
Yoon Kwak ◽  
Ana Ong ◽  
Rosslyn Maybank ◽  
...  
Keyword(s):  
Health System ◽  
Molecular Epidemiology ◽  
Military Health System ◽  
Military Health ◽  
Us Military ◽  
The Us

Contribution Of Care Source To Cancer Treatment Cost Variation In The US Military Health System

2019 ◽  
Vol 38 (8) ◽  
pp. 1335-1342
Author(s):  
Yvonne L. Eaglehouse ◽  
Mayada Aljehani ◽  
Matthew W. Georg ◽  
Olga Castellanos ◽  
Jerry S. H. Lee ◽  
...  
Keyword(s):  
Health System ◽  
Cancer Treatment ◽  
Treatment Cost ◽  
Military Health System ◽  
Military Health ◽  
Us Military ◽  
Cost Variation ◽  
The Us

scholarly journals Racial Differences in Time to Breast Cancer Surgery and Overall Survival in the US Military Health System

JAMA Surgery ◽  
2019 ◽  
Vol 154 (3) ◽  
pp. e185113 ◽  
Author(s):  
Yvonne L. Eaglehouse ◽  
Matthew W. Georg ◽  
Craig D. Shriver ◽  
Kangmin Zhu
Keyword(s):  
Breast Cancer ◽  
Overall Survival ◽  
Health System ◽  
Racial Differences ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
Military Health System ◽  
Military Health ◽  
Us Military ◽  
The Us

A retrospective analysis of extended-interval dosing and the impact on bisphosphonate compliance in the US Military Health System

2011 ◽  
Vol 23 (4) ◽  
pp. 1415-1424 ◽  
Author(s):  
J. Devine ◽  
S. Trice ◽  
Z. Finney ◽  
S. Yarger ◽  
E. Nwokeji ◽  
...  
Keyword(s):  
Health System ◽  
Retrospective Analysis ◽  
Military Health System ◽  
Military Health ◽  
Us Military ◽  
The Us ◽  
The Impact

scholarly journals 222. Clinical and Microbiological Characteristics of Common Bacterial Bloodstream Infections in the US Military Health System

2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. S219-S219
Author(s):  
Alexander C Vostal ◽  
Melissa Grance ◽  
Uzo Chukwuma ◽  
Carlos Morales ◽  
Charlotte Lanteri ◽  
...  
Keyword(s):  
Health System ◽  
Bacterial Pathogens ◽  
Bloodstream Infections ◽  
Military Health System ◽  
Military Health ◽  
E Coli ◽  
Us Military ◽  
The Us ◽  
Acinetobacter Spp ◽  
Microbiological Data

Abstract Background Bloodstream infections (BSI) are associated with inpatient morbidity in the United States. We sought to characterize the epidemiology of common bacterial BSIs in individuals receiving care within the US Military Health System (MHS), which actively prospectively captures clinical and microbiological data from both retired and active-duty US Uniformed Service members and their beneficiaries. Methods We performed a retrospective cohort study analyzing MHS patients with blood cultures positive for all bacterial pathogens, between January 2010 and December 2019. Microbiological data captured by the Navy and Marine Corpse Public Health Center, excluding cultures isolating contaminants, were retrospectively collated with clinical and demographic data from the MHS Data Repository. Results The most frequent nine bacterial pathogens, as well as Acinetobacter spp. represented 17,206 episodes of BSI from 14,531 individuals. The cohort was predominantly male (59.4%) and ≥65 years old (48.7%). Most individuals were retired (N=5,249) or active duty (N=1,418) service members and their dependents (N=5,236). Median Updated Charlson Comorbidity Index Score was 2. Chronic pulmonary disease was the most frequent comorbid condition. Hospital admission was associated with 13,733 (79.8%) BSI episodes, including 5,870 admissions to the ICU. Overall, inpatient mortality was 8.3%. E. coli (29.7%, N= 5,114) was isolated with the highest frequency, followed by S. aureus (22.4%, N=3,853). Further, 9.5% of E. coli and 36.9% of S. aureus isolates were resistant to ceftriaxone and oxacillin, respectively. Beta-hemolytic streptococci represented the highest percentage (6.3%) of recurrent BSI episodes occurring at least 14 days post-initial BSI. Males or Native American race were most commonly infected with S. aureus. E. coli BSI was most common in all other demographic categories. Frequency of Bacterial Blood Stream Infections in the US Military Health System The most frequent nine bacterial pathogens, as well as Acinetobacter spp. in the US Military Health System. Conclusion We assessed the epidemiologic features of all individuals with BSI receiving care in the MHS over a 10-year period. We noted demographic differences in the occurrence of microbiological causes of BSI including S. aureus. Further assessments are underway into BSI-related risk factors for occurrence, antimicrobial resistance and mortality, after controlling for comorbidities and disease severity. Disclosures All Authors: No reported disclosures

scholarly journals Association of Race and Risk of Graft Loss among Kidney Transplant Recipients in the US Military Health System

2020 ◽  
Vol 15 (8) ◽  
pp. 1179-1180
Author(s):  
Crystal J. Forman ◽  
Christina M. Yuan ◽  
Rahul M. Jindal ◽  
Lawrence Y. Agodoa ◽  
Kevin C. Abbott ◽  
...  
Keyword(s):  
Health System ◽  
Kidney Transplant ◽  
Graft Loss ◽  
Transplant Recipients ◽  
Kidney Transplant Recipients ◽  
Military Health System ◽  
Military Health ◽  
Us Military ◽  
The Us
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