Surveillance for CAMRSA in Georgia

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Surveillance for CA-MRSA in Georgia

• Kate Arnold, MD
• Georgia DHR, Division of Public Health

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Georgias Dual Surveillance Systems for CA-MRSA

• EIP active surveillance, 8-county Atlanta MSA
• 2001 All MRSA, with chart review and interviews
• 2005 Invasive MRSA, with chart review
• Passive surveillance for severe CA-MRSA,
  statewide
• October 2004-gt
• Death
• Invasive disease
• ICU
• SSTI requiring operative debridement

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Timeline of MRSA Investigations in Georgia
Jail 2
Detention center (rpt)
State prison
Detention center Jail 1
MMWR
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Timeline of MRSA Investigations in Georgia
Severe MRSA reportable
Athletes Family clusters
GDOC MRSA Prevention and Control Guidelines
Jail 2
Detention center (rpt)
State prison
Detention center Jail 1
MMWR
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Timeline of MRSA Investigations in Georgia
MRSA Task Force
Many concerned calls
School children
Severe pneumonia in young adults
Severe MRSA reportable
Athletes Family clusters
GDOC MRSA Prevention and Control Guidelines
Jail 2
Detention center (rpt)
State prison
Detention center Jail 1
MMWR
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PubMed Community MRSA Articles
H. Chambers, ICEID 2005
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EIP Surveillance Invasive CA-MRSA Disease by Age
Group, 8-County Atlanta Metropolitan Statistical
Area, Georgia. Active Surveillance Periods P1,
7/2001-12/2002 and P2, 3/2004-5/2005
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Severe CA-MRSA Surveillance, GA, 2005

• 564 confirmed reports statewide
• 59 male
• 13 documented deaths 8 among previously healthy
  young persons
• Cluster of 6 severe necrotizing pneumonias during
  flu season 4 aged lt21 years
• Association of methamphetamine use and SSTIs
  among rural NW Georgia residents

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Rates of Severe CA-MRSA Infection by Age Group,
GA, 2005
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(No Transcript)
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Surveillance Assessment GA
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Other Contemplated Methods

• S. aureus resulting in death or ICU admission
• S. aureus infection neonates/ infants
• Invasive disease only
• Sentinel ED surveillance