Annals of Clinical Microbiology, The official Journal of the Korean Society of Clinical Microbiology

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pISSN 2288-0585 eISSN 2288-6850

Active Surveillance for Multidrug-resistant Organisms

Review article

Annals of Clinical Microbiology (Ann Clin Microbiol) 2013 June, Volume 16, Issue 2, pages 53-60.

https://doi.org/10.5145/ACM.2013.16.2.53

Active Surveillance for Multidrug-resistant Organisms

Sung Kuk Hong1, Taek Soo Kim1,2, Kyoung Un Park1,2, Jae-Seok Kim3, Eui-Chong Kim1
Department of Laboratory Medicine, 1Seoul National University College of Medicine, Seoul, 2Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, 3Hallym University College of Medicine, Seoul, Korea

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. (Ann Clin Microbiol 2013;16:53-60)

Keywords

Active surveillance, Mandatory active surveillance, Multidrug resistant organism