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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;27:1133–1136
0899-823X/2006/2710-0021$15.00
DOI: 10.1086/507970
Concise Communication

Epidemiology of Community‐Acquired Methicillin‐Resistant Staphylococcus aureus Skin Infections Among Healthcare Workers in an Outpatient Clinic

Cecilia P. Johnston, MD, MHS;

Lisa Cooper, RN;

William Ruby, DO;

Karen C. Carroll, MD;

Sara E. Cosgrove, MD, MS;

Trish M. Perl, MD, MSc

From the Division of Infectious Diseases, Department of Medicine (C.P.J., W.R., K.C.C., S.E.C., T.M.P.), the Department of Hospital Epidemiology and Infection Control (L.C., S.E.C., T.M.P.), and the Division of Medical Microbiology, Department of Pathology (K.C.C.), School of Medicine, Johns Hopkins University, Baltimore, Maryland.

We describe an investigation of soft‐tissue infections caused by community‐acquired methicillin‐resistant Staphylococcus aureus (CA‐MRSA) strains in 2 healthcare workers employed in an outpatient clinic for patients with human immunodeficiency virus infection. Cultures of environmental samples from multiple surfaces in the clinic grew toxin‐producing CA‐MRSA strains, suggesting fomites may play a role in the transmission of these strains of MRSA.

Received April 21, 2006; accepted June 14, 2006; electronically published August 31, 2006.

Address reprint requests to Cecilia Johnston, MD, 600 North Wolfe Street, Osler 425, Johns Hopkins Hospital, Baltimore, MD 21287 ().

Cited by

Eleni Patrozou, MD; Kim Reid, RN, MPH; Julie Jefferson, RN, MPH; Leonard A. Mermel, DO, ScM. (2009) A Cluster of Community‐Acquired Methicillin‐Resistant Staphylococcus aureus Infections in Hospital Security Guards •. Infection Control and Hospital Epidemiology 30:4, 386-388
Online publication date: 1-Apr-2009.
Leonard B. Johnson, MD; Jinson Jose, MD; Farah Yousif, MD; Joan Pawlak, BS; Louis D. Saravolatz, MD. (2009) Prevalence of Colonization With Community‐Associated Methicillin‐Resistant Staphylococcus aureus Among End‐Stage Renal Disease Patients and Healthcare Workers •. Infection Control and Hospital Epidemiology 30:1, 4-8
Online publication date: 1-Jan-2009.
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.
CrossRef
Jason E. Farley. (2008) Epidemiology, clinical manifestations, and treatment options for skin and soft tissue infection caused by community-acquired methicillin-resistant Staphylococcus aureus. Journal of the American Academy of Nurse Practitioners 20:2, 85-92
Online publication date: 1-Mar-2008.
CrossRef
Stephanie Yee-Guardino, Deepak Kumar, Nazha Abughali, Marion Tuohy, Gerri S. Hall, Mary L. Kumar. (2008) Recognition and treatment of neonatal community-associated MRSA pneumonia and bacteremia. Pediatric Pulmonology 43:2, 203-205
Online publication date: 1-Mar-2008.
CrossRef
  • Presented in part: 15th Annual Meeting of the Society for Healthcare Epidemiology of America; April 2005; Los Angeles, CA; Abstract K‐96.

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