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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.

February 2006

Volume 27, Number 2
Infect Control Hosp Epidemiol 2006;27:212–214
0899-823X/2006/2702-0020$15.00
DOI: 10.1086/500618
Concise Communication

Molecular Epidemiology of Staphylococcus aureus Colonization in 2 Long‐Term Care Facilities

Lona Mody, MD;

Erica Flannery, BS;

Andrew Bielaczyc, BS;

Suzanne F. Bradley, MD

Drs. Mody and Bradley are from the Geriatric Research Education and Clinical Center, Veterans Affairs Ann Arbor Healthcare System and from the Division of Geriatric Medicine, University of Michigan, Ann Arbor. Dr. Flannery, Mr. Beilaczyc, and Dr. Bradley are from the Division of Infectious Diseases, Department of Internal Medicine, University of Michigan, Ann Arbor.

Persistent colonization with Staphylococcus aureus was assessed in 22 nursing home residents. Eighteen residents (82%) remained colonized with the same strain found at baseline; 6 (33%) of 18 residents transiently acquired a new strain. Four residents (18%) acquired a new persistent strain. Residents colonized with methicillin‐resistant S. aureus were more likely to acquire a new strain (67%) than were residents colonized with methicillin‐susceptible S. aureus (20%) ( ).

Received July 13, 2005; accepted September 27, 2005; electronically published February 8, 2006.

Address reprint requests to Lona Mody, Veterans Affairs Ann Arbor Healthcare System, 11 G, GRECC, 2215 Fuller Road, Ann Arbor, MI 48105 ().
  • Presented in part at the Annual Meeting of the Society for Healthcare Epidemiology of America; Los Angeles, CA; April, 2005.

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