PMID- 16465630 OWN - NLM STAT- MEDLINE DCOM- 20060801 LR - 20150127 IS - 0899-823X (Print) IS - 0899-823X (Linking) VI - 27 IP - 2 DP - 2006 Feb TI - Management of outbreaks of methicillin-resistant Staphylococcus aureus infection in the neonatal intensive care unit: a consensus statement. PG - 139-45 AB - OBJECTIVE: In 2002, the Chicago Department of Public Health (CDPH; Chicago, Illinois) convened the Chicago-Area Neonatal MRSA Working Group (CANMWG) to discuss and compare approaches aimed at control of methicillin-resistant Staphylococcus aureus (MRSA) in neonatal intensive care units (NICUs). To better understand these issues on a regional level, the CDPH and the Evanston Department of Health and Human Services (EDHHS; Evanston, Illinois) began an investigation. DESIGN: Survey to collect demographic, clinical, microbiologic, and epidemiologic data on individual cases and clusters of MRSA infection; an additional survey collected data on infection control practices. SETTING: Level III NICUs at Chicago-area hospitals. PARTICIPANTS: Neonates and healthcare workers associated with the level III NICUs. METHODS: From June 2001 through September 2002, the participating hospitals reported all clusters of MRSA infection in their respective level III NICUs to the CDPH and the EDHHS. RESULTS: Thirteen clusters of MRSA infection were detected in level III NICUs, and 149 MRSA-positive infants were reported. Infection control surveys showed that hospitals took different approaches for controlling MRSA colonization and infection in NICUs. CONCLUSION: The CANMWG developed recommendations for the prevention and control of MRSA colonization and infection in the NICU and agreed that recommendations should expand to include future data generated by further studies. Continuing partnerships between hospital infection control personnel and public health professionals will be crucial in honing appropriate guidelines for effective approaches to the management and control of MRSA colonization and infection in NICUs. FAU - Gerber, Susan I AU - Gerber SI AD - Chicago Department of Public Health, Chicago, IL 60612, USA. Gerber_Sue@cdph.org FAU - Jones, Roderick C AU - Jones RC FAU - Scott, Mary V AU - Scott MV FAU - Price, Joel S AU - Price JS FAU - Dworkin, Mark S AU - Dworkin MS FAU - Filippell, Mala B AU - Filippell MB FAU - Rearick, Terri AU - Rearick T FAU - Pur, Stacy L AU - Pur SL FAU - McAuley, James B AU - McAuley JB FAU - Lavin, Mary Alice AU - Lavin MA FAU - Welbel, Sharon F AU - Welbel SF FAU - Garcia-Houchins, Sylvia AU - Garcia-Houchins S FAU - Bova, Judith L AU - Bova JL FAU - Weber, Stephen G AU - Weber SG FAU - Arnow, Paul M AU - Arnow PM FAU - Englund, Janet A AU - Englund JA FAU - Gavin, Patrick J AU - Gavin PJ FAU - Fisher, Adrienne G AU - Fisher AG FAU - Thomson, Richard B AU - Thomson RB FAU - Vescio, Thomas AU - Vescio T FAU - Chou, Teresa AU - Chou T FAU - Johnson, Daniel C AU - Johnson DC FAU - Fry, Mary Beth AU - Fry MB FAU - Molloy, Anne H AU - Molloy AH FAU - Bardowski, Laura AU - Bardowski L FAU - Noskin, Gary A AU - Noskin GA LA - eng PT - Journal Article DEP - 20060208 PL - United States TA - Infect Control Hosp Epidemiol JT - Infection control and hospital epidemiology JID - 8804099 SB - IM MH - Chicago/epidemiology MH - Cross Infection/prevention & control MH - Disease Outbreaks MH - Health Care Surveys MH - Humans MH - Infection Control/*organization & administration MH - *Intensive Care Units, Neonatal MH - *Methicillin Resistance MH - Staphylococcal Infections/*epidemiology/transmission MH - Staphylococcus aureus/drug effects EDAT- 2006/02/09 09:00 MHDA- 2006/08/02 09:00 CRDT- 2006/02/09 09:00 PHST- 2005/04/18 00:00 [received] PHST- 2005/08/18 00:00 [accepted] PHST- 2006/02/09 09:00 [pubmed] PHST- 2006/08/02 09:00 [medline] PHST- 2006/02/09 09:00 [entrez] AID - ICHE2005124 [pii] AID - 10.1086/501216 [doi] PST - ppublish SO - Infect Control Hosp Epidemiol. 2006 Feb;27(2):139-45. doi: 10.1086/501216. Epub 2006 Feb 8.