August 1, 2007
September 21, 2007
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OF MRSA PNEUMONIA NOW REQUIRED in Louisiana
Dr. Ratard has
recently requested reporting of MRSA pneumonia in addition to other
invasive infections caused by MRSA. As a result, Infectious Disease
Surveillance, Infectious Disease Epidemiology Section of the Louisiana
Office of Public Health has created another condition in our Reportable
Disease Database (RDD) for MRSA Pneumonia. MRSA
Pneumonia now reportable
Howard's Handwashing Monitoring Tool
is a communication from Dr. Raoult Ratard, MD, MPH, State Epidemiologist,
Louisiana Office of Public Health.
to the rumor there are no aggressive "mutant" strain of
influenza going around in the Alexandria region. However there several
cases of MRSA pneumonia, one in a 10 year old , one in a 14 year
old. Both died with onset of flu-like symtoms and within a day or
two sudden worsening and death occurring rapidly. Both had a postive
flu test. Both were confirmed bacteriologically as MRSA pneumonia.
We are also investigating a 43 year old with MRSA septicemia who
is doing well, and a 26 year with pneumonia (possible MRSA pneumonia
or MRSA colonization with another etiology for the pneumonia).
As you can see, although a rare occurrence MRSA pneumonia is getting
more and more prevalent in the community and we can expect to see
more and more cases. Unfortunately when MRSA pneumonia develops,
it has a fulgurant course.
We'll send updates as new information becomes available.
The following articles
Severe Community Acquired
Pneumonia Due to Staphylococcus aureus, 2003-2004 Influenza Season.
Emerging Infectious Diseases. www.cdc.gov/eid, Vol 12.No.6, June
from the December 1, 2006 River Region APIC Chapter meeting.
HICPAC Guidelines for Isolation Precautions
Care is Safer Care
Field House Hospital 3
River Region Chapter Bylaws
CDC Control of TB in Healthcare Facilities
2005 CDC quideline for
Prevention of TB in Healthcare Facilities
FOR INFORMATION ABOUT
PANDEMIC FLU - visit the APIC National Website.
Keep up with guidelines
and information regarding pandemic flu and Avian Flu.
Firemarshall issues final interpretation regarding the use of alcohol
handhygiene products in hallways and patient rooms.Louisiana
State Firemarshal's Final Interpretative Letter
REPORTING OF INFECTIONS
states now require mandatory reporting of health-care infections.
Learn more about this issue.
| Mandatory Reporting Includes new CDC, HICPAC Mandatory
Reporting Guidance Document.
GUIDANCE DOCUMENT FOR MEMBERS
issues comment on Mandatory N-95 Fit-testing Prohibition for 2005
memo on prohibition of enforcement of TB mask fitting
The link to the OSHA General Respiratory Protections standard.
OF PUBLIC HEALTH INFECTIOUS DISEASE EPIDEMIOLOGY SECTION PUBLISHES
2003 revision of MRSA GUIDELINE
OPH - Infectious Disease Epidemiology Program
this web page select MRSA Guideline 2003.
ABOUT APIC RIVER REGION CHAPTER on the members page