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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.

August 2007

Volume 28, Number 8
Infect Control Hosp Epidemiol 2007;28:1003–1005
0899-823X/2007/2808-0018$15.00
DOI: 10.1086/519207
Concise Communication

Evaluation of Real‐Time Polymerase Chain Reaction for the Detection of Methicillin‐Resistant Staphylococcus aureus on Environmental Surfaces

Jonathan A. Otter, BSc;

Nancy L. Havill, MT;

John M. Boyce, MD

From Bioquell (UK), Andover, Hampshire, United Kingdom (J.A.O.); the Hospital of Saint Raphael (N.L.H., J.M.B.) and the Yale University School of Medicine (J.M.B.), New Haven, Connecticut.

We compared real‐time polymerase chain reaction (RT‐PCR) with in vitro culture for detecting methicillin‐resistant Staphylococcus aureus in samples from environmental surfaces. The sensitivity of RT‐PCR, compared with culture, was 92.5%, and the specificity was 51.4%. Because of poor specificity, the RT‐PCR kit tested is not suitable for the detection of MRSA on hospital surfaces.

Received December 6, 2006; accepted February 19, 2007; electronically published June 11, 2007.

Address reprint requests to Jonathan A. Otter, BSc, Bioquell (UK) Ltd., 34 Walworth Road, Andover, Hampshire, SP10 5AA, UK ().

Cited by

O. Sherlock, PhD; N. O’Connell, BsC; E. Creamer, MsC; S. O’Hara; H. Humphreys, MD. (2009) Evaluation of Rapid Culture Screening Assay for Methicillin‐Resistant Staphylococcus aureus (MRSA) for Detection of Environmental MRSA Contamination •. Infection Control and Hospital Epidemiology 30:6, 604-606
Online publication date: 1-Jun-2009.
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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