A key factor in Virginia’s ability to detect, monitor and control antimicrobial resistance is its public health laboratory capacity. There has been limited to no funding in the past for antibiotic resistance education programs, surveillance, and laboratory testing, and the limited funding that has been available continues to decrease. Approximately half of state public health laboratories provide some level of basic antimicrobial resistance testing. Like many states, Virginia lacks the funding and resources to provide the level of laboratory testing support needed to detect and track emerging resistance patterns promptly in a range of pathogens.
1 Dr. Fred Tenover, quoted in “The Bacteria Fight Back” Science, July 18, 2008. 2 R. Monina Klevens et al. “Invasive Methicillin-resistant Staphylococcus aureus Infections in the United States,” JAMA, October 17, 2007: 1763-1771.3 Elixhauser, A. and Steiner, C. Infections with Methicillin-Resistant Staphylococcus Aureus (MRSA) in U.S. Hospitals, 1993–2005. HCUP Statistical Brief #35. July 2007. Agency for Healthcare Research and Quality.4 Virginia Monthly Morbidity Surveillance Report – Cumulative Data, Virginia Department of Health, July 20095 CDC MMWR “Guidance for Control of Infections with Carbapenem-Resistant or Carbapenemase-Producing Enterobacteriaceae in Acute Care Facilities” March 20, 2009 / Vol. 58 / No. 10 6 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. 87 CDC Wonder Death Certificate Data, cited in a July 28, 2008 communication to Senator Sherrod Brown 8 Virginia Epidemiology Bulletin, Vol. 107, No. 6, June 200
STATE CONTACTState Epidemiologist ContactKeri HallVirginia Department of HealthKeri.Hall@vdh.virginia.gov
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