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NHSN Annual Update:
Antimicrobial-Resistant Pathogens Associated With Healthcare-Associated Infections

Annual Summary of Data Reported to the National Healthcare Safety Network at the Centers for Disease Control and Prevention, 2006–2007

Antimicrobial-resistant pathogens that cause healthcare-associated infections (HAIs) pose an ongoing and increasing challenge to hospitals, both in the clinical treatment of patients and in the prevention of the cross-transmission of these problematic pathogens.  Describing the magnitude of the problem with respect to these antimicrobial-resistant pathogens is challenging, because the levels of antimicrobial resistance vary for different types of healthcare facilities and for different geographic areas, and some resistance phenotypes are difficult for laboratories to detect. However, the findings from such attempts may help the infection control and public health communities target problems and utilize resources more efficiently.

In the News

Featured in The Times
"Ireland 'losing war' on superbug" February 15, 2009
Challenges of Implementing National Guidelines for the Control and Prevention of Methicillin‐Resistant Staphylococcus aureus Colonization or Infection in Acute Care Hospitals in the Republic of Ireland
Fidelma Fitzpatrick, MD; Fiona Roche, PhD; Robert Cunney, MB; Hilary Humphreys, MD; Strategy for the Control of Antimicrobial Resistance in Ireland Infection Control Subcommittee
The research, published in Infection Control and Hospital Epidemiology, found one third of hospitals did not have a written policy on antibiotic use, and only 35% had an antibiotic stewardship programme.

January 2006

Volume 27, Number 1
Infect Control Hosp Epidemiol 2006;27:92–95
0195-9417/2006/2701-0021$15.00
DOI: 10.1086/500420
Concise Communication

An Outbreak of Pertussis in a Hematology‐Oncology Care Unit: Implications for Adult Vaccination Policy

Brian R. Boulay, MD;

Carolyn J. Murray, MD, MPH;

Judy Ptak, RN;

Kathryn B. Kirkland, MD;

Jose Montero, MD;

Elizabeth A. Talbot, MD

Drs. Boulay, Murray, Kirkland, and Talbot and Ms. Ptak are from the Department of Medicine, Dartmouth‐Hitchcock Medical Center, Lebanon, and Drs. Montero and Talbot are from the Department of Health and Human Services, Concord, New Hampshire.

A pertussis outbreak in a hematology‐oncology care unit involved 10 (8.5%) of 117 employees. The source was an employee who contracted pertussis via a family contact. No screened patients contracted pertussis, likely because of isolation measures. Hospitals should consider employee immunization with acellular vaccine in healthcare settings where pertussis has high rates of morbidity and mortality.

Received August 9, 2004; accepted December 28, 2004; electronically published January 6, 2006.

Address reprint requests to Brian R. Boulay, MD, Section of General Internal Medicine, Dartmouth Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756 ().

Cited by

Surbhi Leekha, MBBS, MPH; Rodney L. Thompson, MD; Priya Sampathkumar, MD. (2009) Epidemiology and Control of Pertussis Outbreaks in a Tertiary Care Center and the Resource Consumption Associated With These Outbreaks •. Infection Control and Hospital Epidemiology 30:5, 467-473
Online publication date: 1-May-2009.
William P. Goins, MD; William Schaffner, MD; Kathryn M. Edwards, MD; Thomas R. Talbot, MD, MPH. (2007) Healthcare Workers’ Knowledge and Attitudes About Pertussis and Pertussis Vaccination •. Infection Control and Hospital Epidemiology 28:11, 1284-1289
Online publication date: 1-Nov-2007.
(2007) Empfehlung zur Prävention nosokomialer Infektionen bei neonatologischen Intensivpflegepatienten mit einem Geburtsgewicht unter 1500 g. Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz 50:10, 1265-1303
Online publication date: 1-Nov-2007.
CrossRef
Iva Zivna, MD; Diana Bergin, MS, APRN BC; Joanne Casavant, MS, APRN BC; Sally Fontecchio, RN, BSNEd, CIC; Susan Nelson, RN, MSPH, CIC; Anita Kelley, RN, MSN, CIC; Sandra Mathis, RN, MPH, CIC; Zita Melvin, RN, BSN, CIC; Rosemarie Erlichman, RN, BSN, CIC; Richard T. Ellison III, MD. (2007) Impact of Bordetella pertussis Exposures on a Massachusetts Tertiary Care Medical System •. Infection Control and Hospital Epidemiology 28:6, 708-712
Online publication date: 1-Jun-2007.
Irini Daskalaki, MD; Patricia Hennessey, MSN; Robin Hubler, MSc; Sarah S. Long, MD. (2007) Resource Consumption in the Infection Control Management of Pertussis Exposure Among Healthcare Workers in Pediatrics •. Infection Control and Hospital Epidemiology 28:4, 412-417
Online publication date: 1-Apr-2007.
Kathryn M. Edwards, MD; Thomas R. Talbot, MD, MPH. (2006) The Challenges of Pertussis Outbreaks in Healthcare Facilities: Is There A Light at the End of the Tunnel? •. Infection Control and Hospital Epidemiology 27:6, 537-540
Online publication date: 1-Jun-2006.
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