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Growth and geographic variation in hospitalizations with resistant infections, United States, 2000-2005.

Zilberberg MD, Shorr AF, Kollef MH - Emerging Infect. Dis. (2008)

Bottom Line: From 2000 through 2005, hospitalizations with resistant infections (methicillin-resistant Staphylococcus aureus, Clostridium difficile-associated disease, vancomycin-resistant enterococcus, Pseudomonas aeruginosa, and Candida infection) nearly doubled, from 499,702 to 947,393.Regional variations noted in the aggregate and by individual infection may help clarify modifiable risk factors driving these infections.

View Article: PubMed Central - PubMed

Affiliation: EviMed Research Group, LLC, Goshen, Massachussetts 01032, USA. marya@evimedgroup.org

ABSTRACT
From 2000 through 2005, hospitalizations with resistant infections (methicillin-resistant Staphylococcus aureus, Clostridium difficile-associated disease, vancomycin-resistant enterococcus, Pseudomonas aeruginosa, and Candida infection) nearly doubled, from 499,702 to 947,393. Regional variations noted in the aggregate and by individual infection may help clarify modifiable risk factors driving these infections.

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Population incidence of component resistant infections in the United States, by census region, 2000–2005. A) Clostridium difficile–associated disease; B) methicillin-resistant Staphylococcus aureus; C) vancomycin-resistant enterococcus; D) Pseudomonas aeruginosa; E) Candida spp.
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Figure 1: Population incidence of component resistant infections in the United States, by census region, 2000–2005. A) Clostridium difficile–associated disease; B) methicillin-resistant Staphylococcus aureus; C) vancomycin-resistant enterococcus; D) Pseudomonas aeruginosa; E) Candida spp.

Mentions: When the incidences of individual component infections were examined, several patterns emerged. While the Northeast led other regions in the incidence of CDAD hospitalizations over the entire period examined (Figure, panel A), the South exhibited the highest population incidence of MRSA and Pseudomonas hospitalizations. Although temporal patterns of regional population incidence varied somewhat for hospitalizations in which VRE and Candida spp. infections were diagnosed, by year 2005 the Northeast emerged as the region with the highest incidence of VRE, while the South had the highest incidence of Candida spp. hospitalizations. The lowest incidence of VRE hospitalizations was consistently seen in the southern region in each of the studied years. The incidence of hospitalizations with pseudomonal infections remained relatively stable regionally over time (Figure, panels B, C, D).


Growth and geographic variation in hospitalizations with resistant infections, United States, 2000-2005.

Zilberberg MD, Shorr AF, Kollef MH - Emerging Infect. Dis. (2008)

Population incidence of component resistant infections in the United States, by census region, 2000–2005. A) Clostridium difficile–associated disease; B) methicillin-resistant Staphylococcus aureus; C) vancomycin-resistant enterococcus; D) Pseudomonas aeruginosa; E) Candida spp.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2630735&req=5

Figure 1: Population incidence of component resistant infections in the United States, by census region, 2000–2005. A) Clostridium difficile–associated disease; B) methicillin-resistant Staphylococcus aureus; C) vancomycin-resistant enterococcus; D) Pseudomonas aeruginosa; E) Candida spp.
Mentions: When the incidences of individual component infections were examined, several patterns emerged. While the Northeast led other regions in the incidence of CDAD hospitalizations over the entire period examined (Figure, panel A), the South exhibited the highest population incidence of MRSA and Pseudomonas hospitalizations. Although temporal patterns of regional population incidence varied somewhat for hospitalizations in which VRE and Candida spp. infections were diagnosed, by year 2005 the Northeast emerged as the region with the highest incidence of VRE, while the South had the highest incidence of Candida spp. hospitalizations. The lowest incidence of VRE hospitalizations was consistently seen in the southern region in each of the studied years. The incidence of hospitalizations with pseudomonal infections remained relatively stable regionally over time (Figure, panels B, C, D).

Bottom Line: From 2000 through 2005, hospitalizations with resistant infections (methicillin-resistant Staphylococcus aureus, Clostridium difficile-associated disease, vancomycin-resistant enterococcus, Pseudomonas aeruginosa, and Candida infection) nearly doubled, from 499,702 to 947,393.Regional variations noted in the aggregate and by individual infection may help clarify modifiable risk factors driving these infections.

View Article: PubMed Central - PubMed

Affiliation: EviMed Research Group, LLC, Goshen, Massachussetts 01032, USA. marya@evimedgroup.org

ABSTRACT
From 2000 through 2005, hospitalizations with resistant infections (methicillin-resistant Staphylococcus aureus, Clostridium difficile-associated disease, vancomycin-resistant enterococcus, Pseudomonas aeruginosa, and Candida infection) nearly doubled, from 499,702 to 947,393. Regional variations noted in the aggregate and by individual infection may help clarify modifiable risk factors driving these infections.

Show MeSH
Related in: MedlinePlus