Ann Clin Microbiol.  2013 Jun;16(2):53-60. 10.5145/ACM.2013.16.2.53.

Active Surveillance for Multidrug-resistant Organisms

• Hong SK
• Kim TS
• Park KU
• Kim JS
• Kim EC

• KMID: 1431765
• DOI: http://doi.org/10.5145/ACM.2013.16.2.53

Abstract

Infections and outbreaks of antimicrobial-resistant bacteria, such as methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococcus (VRE), have been increasing. Detection methods for antimicrobial-resistant bacteria have been changed from traditional culture methods to chromogenic media culture and molecular methods. Strain-typing methods using various molecular technologies are essential tools for epidemiologic surveillance. Furthermore, outbreak detection, using syndromic surveillance as well as passive and active surveillance, has been applied. However, it is difficult to establish effective and robust guidelines and systems for using these various methods to control antimicrobial-resistant bacteria. Therefore, clinical microbiologists and policy makers must possess expertise in the control of antimicrobial resistant bacteria, discuss the issue sufficiently, and, finally, create a system to accomplish this control.

Keyword

Active surveillance; Mandatory active surveillance; Multidrug resistant organism

MeSH Terms

Administrative Personnel
Bacteria
Disease Outbreaks
Enterococcus
Epidemiological Monitoring
Humans
Methicillin-Resistant Staphylococcus aureus

Figure

• 

  Fig. 1. Syndromic surveillance: rationale for early detection. *Time between detection by syndromic (prediagnostic) surveillance and detection by traditional (diagnosis-bases) surveillance. Figure is adapted from MMWR, 2004;53.

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  Fig. 2. Legislative maps of methicillin-resistant Staphylococcus aureus in the United States. Figure is adapted from http://apic.org.

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