A key factor in Minnesota’s ability to detect, monitor and control antimicrobial resistance is the capacities of the public health laboratory and epidemiology at MDH. In order to maintain an ability to detect emerging resistance of public health importance, and develop appropriate infection prevention and control interventions, it is critical that laboratory and epidemiological infrastructure be strengthened and sustained.
1 Centers for Disease Control and Prevention: “Antibiotic / Antimicrobial Resistance”, http://www.cdc.gov/drugresistance/index.htm: accessed July 28, 2009.2 RM Klevens et al. Invasive methicillin-resistant Staphylococcus aureus infections in the United States, JAMA, 298: 1763-1771.3 Personal communication, Ruth Lynfield, MDH4 Minnesota Department of Health Disease Control Newsletter, Annual Summary of Communicable Diseases Reported to the Minnesota Department of Health, 20065 HM Wu et al. Emergence of ciprofloxacin-resistant Neisseria meningitidis in North America, New Engl J Med, 2009; 360: 886-926 J Rainbow, et al. Rifampin-Resistant Meningococcal Disease, Emerg Infect Dis. 2005; 11:977-9797 2007 MDH Antibiogram http://www.health.state.mn.us/divs/idepc/dtopics/antibioticresistance/antibiogram.html8 CDC MMWR “Guidance for Control of Infections with Carbapenem-Resistant or Carbapenemase-Producing Enterobacteriaceae in Acute Care Facilities” March 20, 2009 / Vol. 58 / No. 109 K. F. Anderson, et al.; Evaluation of Methods To Identify the Klebsiella pneumoniae Carbapenemase in Enterobacteriaceae; Journal of Clinical Microbiology, August 2007, p. 2723-2725, Vol. 45, No. 810 2006 MDH Antibiogram http://www.health.state.mn.us/divs/idepc/dtopics/antibioticresistance/antibiogram.html11 G. Patel, et al. Outcomes of carbapenem-resistant Klebsiella pneumoniae infection and the impact of antimicrobial and adjunctive therapies. Infect Control and Hosp Epidem. 2008; 29:1099-110612 CDC Wonder Death Certificate Data, cited in a July 28, 2008 communication to Senator Sherrod Brown13 Healthcare Cost and Utilization Project (HCUP) State Inpatient Databases (SID), Agency for Healthcare Research and Quality, http://www.hcupnet.ahrq.gov/, cited in a July 28, 2008 communication from CDC to Senator Sherrod Brown
STATE CONTACT Ruth Lynfield, MD State Epidemiologist Ruth.firstname.lastname@example.org
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