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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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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 2007

Volume 28, Number 10
Infect Control Hosp Epidemiol 2007;28:1187–1190
0899-823X/2007/2810-0010$15.00
DOI: 10.1086/520748
Original Article

Meningitis Following Spinal Anesthesia: 6 Cases in 5 Years

Lisa Rubin, MD, MPH;

Hannah Sprecher, PhD;

Ahmed Kabaha, MD;

Gabriel Weber, MD;

Nava Teitler, MA;

Shmuel Rishpon, MD

From the Haifa District Health Office (L.R., A.K., S.R.), the School of Public Health, Faculty of Welfare and Health Sciences, University of Haifa (L.R., S.R.), the Microbiology Laboratory, Rambam Medical Center (H.S.), the Infectious Diseases Unit, Carmel Medical Center (G.W.), the Faculty of Medicine, Technion–Israel Institute of Technology (G.W.), Haifa, and HaEmek Medical Center, Afula (N.T.), Israel.

We describe 6 cases of meningitis after spinal anesthesia associated with a single anesthesiologist over the course of 5 years. The earliest case occurred in 2000, and the other 5 cases occurred over the course of 14 months in 2004‐2005. The case identified in 2000 was culture‐positive for Streptococcus salivarius. The other 5 cases were culture‐negative for this organism but in 2 cases, the cerebrospinal fluid was found to be positive for bacterial DNA that was identified as belonging to S. salivarius by sequencing of the 16S rRNA gene. The association with a single anesthesiologist and a single hospital during a relatively short interval, however, lead us to believe that these occurrences are part of a series associated with possible violations of aseptic technique.

Received March 26, 2007; accepted May 9, 2007; electronically published August 1, 2007.

Address reprint requests to Lisa Rubin MD, MPH, Deputy District Health Officer, Haifa District Health Office, Palyam 15 A, Haifa, Israel ().

Cited by

Vibeke Moen, Lars Irestedt. (2008) Neurological complications following central neuraxial blockades in obstetrics. Current Opinion in Anaesthesiology 21:3, 275-280
Online publication date: 1-Jul-2008.
CrossRef
Claire Thénié, MD; Anne Carbonne, MD; Pascal Astagneau, MD, PhD. (2008) Clusters of Nosocomial Meningitis Associated With a Single Anesthesiologist • . Infection Control and Hospital Epidemiology 29:3, 286-287
Online publication date: 1-Mar-2008.
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