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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.

July 2007

Volume 28, Number 7
Infect Control Hosp Epidemiol 2007;28:880–882
0899-823X/2007/2807-0019$15.00
DOI: 10.1086/518454
Concise Communication

Epidemiology of Infection and Colonization With Vancomycin‐Resistant Enterococci and Frequency of Cocolonization With Methicillin‐Resistant Staphylococcus aureus in Children

Lacey Benson, BA;

Bruce Sprague, BA;

Joseph Campos, PhD;

Nalini Singh, MD, MPH

From Case Western Medical School, Cleveland, Ohio (L.B.); and the Center for Health Services and Community Research, Children's National Medical Center (B.S.), the Departments of Pediatrics (J.C., N.S.), Pathology (J.C.), and Microbiology–Tropical Medicine (J.C.), The George Washington University School of Medicine, and the Department of Laboratory Medicine (J.C.) and Division of Infectious Diseases (N.S.), Children’s National Medical Center, The George Washington University School of Medicine, Washington, DC.

We report the descriptive and molecular epidemiology of vancomycin‐resistant enterococci (VRE) infection and colonization and cocolonization with methicillin‐resistant Staphylococcus aureus (MRSA) in children. Interunit and intraunit spread of VRE was detected, and 8 cases of VRE‐MRSA cocolonization were identified. Seven of these cases were identified only via active surveillance, because clinical evidence of VRE colonization was absent.

Received September 5, 2006; accepted November 29, 2006; electronically published May 31, 2007.

Address reprint requests to Nalini Singh, MD, MPH, Departments of Pediatrics, Epidemiology, and Global Health, The George Washington University Schools of Medicine and Public Health, 111 Michigan Avenue NW, Washington, DC 20010 ().

Cited by

Sang Hoon Han, MD; Bum Sik Chin, MD; Han Sung Lee, MD; Su Jin Jeong, MD; Hee Kyung Choi, MD; Chang Ki Kim, MD; Chang Oh Kim, MD; Dongeun Yong, MD, PhD; Jun Yong Choi, MD, PhD; Young Goo Song, MD, PhD; Kyungwon Lee, MD, PhD; June Myung Kim, MD, PhD. (2009) Recovery of Both Vancomycin‐Resistant Enterococci and Methicillin‐Resistant Staphylococcus aureus From Culture of a Single Clinical Specimen From Colonized or Infected Patients •. Infection Control and Hospital Epidemiology 30:2, 130-138
Online publication date: 1-Feb-2009.
Fred C. Tenover. (2008) Editorial Commentary: Vancomycin‐Resistant Staphylococcus aureus: A Perfect but Geographically Limited Storm?. Clinical Infectious Diseases 46:5, 675-677
Online publication date: 1-Mar-2008.
Brian Anderson, BS; Sarah Nicholas, MD; Bruce Sprague, BS; Joseph Campos, PhD; Billie Short, MD; Nalini Singh, MD, MPH. (2008) Molecular and Descriptive Epidemiologyof Multidrug‐Resistant Enterobacteriaceae in Hospitalized Infants •. Infection Control and Hospital Epidemiology 29:3, 250-255
Online publication date: 1-Mar-2008.
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