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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.

November 2006

Volume 27, Number 11
Infect Control Hosp Epidemiol 2006;27:1258–1260
0899-823X/2006/2711-0021$15.00
DOI: 10.1086/508844
Concise Communication

Pseudo‐Outbreak of Hepatitis B Virus Infection Associated With Contamination of a Semiautomatic Cap Remover

Bram M. W. Diederen, MD;

Carlo Verhulst, MsC;

Annemarie van’t Veen, MD, PhD;

Peter H. J. van Keulen, MD;

Jan A. J. W. Kluytmans, MD, PhD

From the Laboratory for Microbiology and Infection Control, Amphia Hospital, Breda (C.V., P.H.J.v.K., J.A.J.W.K.), the Laboratory of Medical Microbiology and Immunology, St. Elisabeth Hospital, Tilburg (B.M.W.D.), and the Department of Virology, Erasmus Medical Center, Rotterdam (A.v.V.), The Netherlands.

A pseudo‐outbreak of hepatitis B virus caused by cross‐contamination from a semiautomatic cap remover for blood collection tubes is reported. The source of the outbreak was elucidated by using basic epidemiological methods. Laboratories should always be critical about their results in order to identify contamination problems.

Received July 1, 2005; accepted September 8, 2005; electronically published October 20, 2006.

Address reprint requests to Bram Diederen, Laboratory of Medical Microbiology and Immunology, St. Elisabeth Hospital, PO Box 747, 5000 AS Tilburg, The Netherlands ().
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