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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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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.

June 2008

Volume 29, Number 6
Infect Control Hosp Epidemiol 2008;29:567–571
0899-823X/2008/2906-17$15.00
DOI: 10.1086/588202
Concise Communication

Risk Factors for Infectious Spondylodiscitis in Patients Receiving Hemodialysis

Ramzi M. Helewa, BSc;

John M. Embil, MD;

Cynthia G. Boughen, BScN;

Mary Cheang, MMath;

Michael Goytan, MD;

James M. Zacharias, MD;

Elly Trepman, MD

From the Faculty of Medicine (R.M.H.), Section of Infectious Diseases, Department of Medicine (J.M.E.), Department of Medical Microbiology (J.M.E., E.T.), Biostatistical Consulting Unit, Department of Community Health Sciences (M.C.), Section of Orthopedics and Neurosurgery, Department of Surgery (M.G.), Section of Nephrology, Department of Medicine, University of Manitoba (J.M.Z.), and Clinical Support Services, Health Sciences Centre (C.G.B.), Winnipeg, Manitoba, Canada; and the Department of Orthopedic Surgery, Grand Itasca Clinic and Hospital, Grand Rapids, Minnesota (E.T.).

A retrospective case-control and cohort analysis of hemodialysis patients was done to identify risk factors for spondylodiscitis. These risk factors included bacteremia, receipt of blood products, invasive procedures, and establishment of vascular access. The death rate was greater for case subjects than for control subjects (odds ratio, 2.7).

Received November 28, 2007; accepted March 12, 2008; electronically published May 30, 2008

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