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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.

October 2006

Volume 27, Number 10
Infect Control Hosp Epidemiol 2006;27:1120–1122
0899-823X/2006/2710-0017$15.00
DOI: 10.1086/507966
Concise Communication

Use of Gaseous Ozone for Eradication of Methicillin‐Resistant Staphylococcus aureus From the Home Environment of a Colonized Hospital Employee

Hero E. L. de Boer, MD;

Carla M. van Elzelingen‐Dekker, BSc;

Cora M. F. van Rheenen‐Verberg, BSc;

Lodewijk Spanjaard, MD, PhD

From the Departments of Occupational Health (H.E.L.d.B) and Medical Microbiology (C.M.v.E.‐D., C.M.F.v.R.‐V., L.S.), Academic Medical Center, Amsterdam, The Netherlands.

An intensive care nurse with eczema was repeatedly treated for methicillin‐resistant Staphylococcus aureus (MRSA) carriage. Because cultures remained positive for MRSA, her house was investigated. Thirty‐four percent of environmental samples yielded MRSA. Her children and cat were free of MRSA. The house was decontaminated with gaseous ozone. All subsequent cultures were negative for MRSA. This decontamination cost €2,000 (approximately $2,400).

Received March 18, 2005; accepted March 18, 2006; electronically published September 21, 2006.

Address reprint requests to Lodewijk Spanjaard, MD, PhD, Laboratory of Bacteriology, Academic Medical Center, L‐1‐243, P.O. Box 22660, 1100 DD Amsterdam, The Netherlands ().

Cited by

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Online publication date: 1-Jun-2009.
S. Burgassi, I. Zanardi, V. Travagli, E. Montomoli, V. Bocci. (2009) How much ozone bactericidal activity is compromised by plasma components?. Journal of Applied Microbiology 106:5, 1715-1721
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M. D. Bartels, K. Kristoffersen, K. Boye, H. Westh. (2009) Rise and subsequent decline of community-associated methicillin resistant Staphylococcus aureus ST30-IVc in Copenhagen, Denmark through an effective search and destroy policy. Clinical Microbiology and Infection
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N. Cimolai. (2008) MRSA and the environment: implications for comprehensive control measures. European Journal of Clinical Microbiology & Infectious Diseases 27:7, 481-493
Online publication date: 1-Aug-2008.
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Edina Avdic, Sara E Cosgrove. (2008) Management and control strategies for community-associated methicillin-resistant Staphylococcus aureus. Expert Opinion on Pharmacotherapy 9:9, 1463-1479
Online publication date: 1-Jul-2008.
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