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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.

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May 2007

Volume 28, Number 5
Infect Control Hosp Epidemiol 2007;28:610–613
© 2007 by The Society for Healthcare Epidemiology of America. All rights reserved.
0899-823X/2007/2805-0019$15.00
DOI: 10.1086/516660
Concise Communication

Incidence of Catheter‐Related Bloodstream Infection Among Patients With a Needleless, Mechanical Valve–Based Intravenous Connector in an Australian Hematology‐Oncology Unit

Kathryn Field, MBBS;

Caroline McFarlane, MBBS;

Allen C. Cheng, PhD;

Andrew J. Hughes, FRACP;

Elly Jacobs, MNurs;

Kaylene Styles, RN;

Jillian Low, RN;

Peter Stow, FJFICM;

Philip Campbell, FRACP;

Eugene Athan, FRACP

From the Departments of Clinical Hematology and Medical Oncology (K.F., C.M., E.J., P.C.), Infectious Diseases (A.C., A.H., K.S., J.L., E.A.), and Intensive Care (P.S.), Geelong Hospital, Barwon Health, Geelong, Victoria, Australia.

There are few Australian data on the incidence of catheter‐associated bloodstream infection (BSI) among patients in hematology‐oncology units. We found an increase in catheter‐associated BSI rates coincident with the introduction of a mechanical valve connector (2.6 infections vs 5.8 infections per 1,000 catheter‐days; incidence rate ratio, 2.2; ).

Received May 29, 2006; accepted August 22, 2006; electronically published April 12, 2007.

Address reprint requests to Eugene Athan, FRACP, Geelong Hospital, Barwon Health, Ryrie Street, Geelong VIC 3220, Australia ().

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Leon J. Worth, John F. Seymour, Monica A. Slavin. (2009) Infective and thrombotic complications of central venous catheters in patients with hematological malignancy: prospective evaluation of nontunneled devices. Supportive Care in Cancer 17:7, 811-818
Online publication date: 1-Aug-2009.
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Kerry J. Edgar, BS. (2009) Does the Evidence Support the SHEA‐IDSA Recommendation on the Use of Positive‐Pressure Mechanical Valves? •. Infection Control and Hospital Epidemiology 30:4, 402-403
Online publication date: 1-Apr-2009.
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Jonas Marschall, MD; Leonard A. Mermel, DO, ScM; David Classen, MD, MS; Kathleen M. Arias, MS, CIC; Kelly Podgorny, RN, MS, CPHQ; Deverick J. Anderson, MD, MPH; Helen Burstin, MD; David P. Calfee, MD, MS; Susan E. Coffin, MD, MPH; Erik R. Dubberke, MD; Victoria Fraser, MD; Dale N. Gerding, MD; Frances A. Griffin, RRT, MPA; Peter Gross, MD; Keith S. Kaye, MD; Michael Klompas, MD; Evelyn Lo, MD; Lindsay Nicolle, MD; David A. Pegues, MD; Trish M. Perl, MD; Sanjay Saint, MD; Cassandra D. Salgado, MD, MS; Robert A. Weinstein, MD; Robert Wise, MD; Deborah S. Yokoe, MD, MPH. (2008) Strategies to Prevent Central Line–Associated Bloodstream Infections in Acute Care Hospitals •. Infection Control and Hospital Epidemiology 29:s1, S22-S30
Online publication date: 1-Oct-2008.
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J Matthias Walz, Khaldoun Faris, Stephen O. Heard. (2008) Who let the bugs in?*. Critical Care Medicine 36:9, 2689-2690
Online publication date: 1-Oct-2008.
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Leonard A. Mermel. (2008) Arterial catheters are not risk-free spigots*. Critical Care Medicine 36:2, 620-622
Online publication date: 1-Mar-2008.
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Jean-Fran??ois Timsit. (2007) Diagnosis and prevention of catheter-related infections. Current Opinion in Critical Care 13:5, 563-571
Online publication date: 1-Nov-2007.
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