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Historical Perspectives from Previous Staphylococcus aureus Epidemics: Lessons from the Past

The Scene in the 1950s. Widespread hospital outbreaksNew, virulent, antibiotic-resistant hospital strains"Rapid / dramatic increase in infections in newborns, obstetrical and surgical patientsUp to 25% of infants developed pyodermasMaternal breast abscesses common@ 1% of post-partum women died

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Historical Perspectives from Previous Staphylococcus aureus Epidemics: Lessons from the Past

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    1. Historical Perspectives from Previous Staphylococcus aureus Epidemics: Lessons from the Past? Theodore Eickhoff, MD University of Colorado Health Sciences Center SECEBT May 12, 2006

    2. The Scene in the 1950s Widespread hospital outbreaks New, virulent, antibiotic-resistant “hospital strains” Rapid / dramatic increase in infections in newborns, obstetrical and surgical patients Up to 25% of infants developed pyodermas Maternal breast abscesses common @ 1% of post-partum women died of staphylococcal sepsis Asian Influenza pandemic looming Haley RW. Managing hospital infection control for cost effectiveness. AHA Publishing, Inc. 1986

    3. American Hospital Association Concerned Formed a Committee on Infections in Hospitals Define the extent of the problem All hospitals establish infection committees Carry out surveillance and post-D/C follow-up Trace the source of all staphylococcal infections Members included Alex Langmuir, Max Finland, Bill Altemeier

    4. Were Staphylococcal Infections Increasing? Conflicting Data: BCH data: 4-fold increase in staphylococcal bacteremia from 1935-1957 MGH data on surgical sepsis: no absolute increase; rather increased risks with age, underlying disease, complex interventions, etc. Increase not uniform; epidemics common in hospitals

    5. The Epidemiological Cycle Nahmias AJ, Eickhoff TC New England J Med 265: 74: 1961

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