Pogorzelska-Maziarz Monika, Carter Eileen J, Manning Mary Lou, Larson Elaine L
1 Jefferson College of Nursing, Thomas Jefferson University, Philadelphia, PA, USA.
2 Columbia University School of Nursing, New York, NY, USA.
Public Health Rep. 2017 Jan/Feb;132(1):32-36. doi: 10.1177/0033354916681507. Epub 2016 Dec 12.
Due to the high burden of antibiotic-resistant infections, several US states mandate public reporting of these infections. To examine the extent to which state departments of health require reporting of antibiotic-resistant infections, we abstracted data from lists of reportable conditions from all 50 states at 2 time points, May 2013 and May 2015. Requirements varied substantially by state. In 2015, most states (n = 44) required reporting of at least 1 antibiotic-resistant infection; vancomycin-intermediate and/or vancomycin-resistant Staphylococcus aureus was the most frequently reportable infection (n = 40). Few states required reporting of methicillin-resistant S aureus (n = 11), multidrug-resistant gram-negative bacteria (n = 9), or vancomycin-resistant enterococci (n = 8). During the 2 years we studied, 2013 and 2015, 4 states removed and 9 added at least 1 reporting requirement. The changes in reporting requirements suggest flexibility in health departments' response to local surveillance needs and emerging threats. Future studies should assess how data on antibiotic-resistant infections through different sources are used at the state level to drive prevention and control efforts.
由于耐抗生素感染负担沉重，美国多个州强制要求公开报告此类感染情况。为了调查各州卫生部门要求报告耐抗生素感染情况的程度，我们在2013年5月和2015年5月这两个时间点，从所有50个州的应报告疾病清单中提取了数据。各州的要求差异很大。2015年，大多数州（n = 44）要求报告至少1种耐抗生素感染；万古霉素中介和/或耐万古霉素金黄色葡萄球菌是最常要求报告的感染（n = 40）。很少有州要求报告耐甲氧西林金黄色葡萄球菌（n = 11）、多重耐药革兰氏阴性菌（n = 9）或耐万古霉素肠球菌（n = 8）。在我们研究的2013年至2015年这两年间，有4个州取消了至少1项报告要求，9个州增加了至少1项报告要求。报告要求的变化表明卫生部门在应对当地监测需求和新出现的威胁方面具有灵活性。未来的研究应评估通过不同来源获得的耐抗生素感染数据在州一级如何用于推动预防和控制工作。
