Maryn McKenna

Journalist and Author

Catching up to MRSA news (not about me)

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Constant readers: I’m looking forward to having the breathing space to get back to in-depth blogging. Meanwhile, though, news is zipping by — so here’s a quick list of recent things worth reading.

“Cows on Drugs” — a superb history of the 30-year-old fight to get unnecessary antibiotics out of food animals. Note, written by a former commissioner of the Food and Drug Administration, not exactly a wild-eyed radical:

More than 30 years ago, when I was commissioner of the United States Food and Drug Administration, we proposed eliminating the use of penicillin and two other antibiotics to promote growth in animals raised for food. When agribusiness interests persuaded Congress not to approve that regulation, we saw firsthand how strong politics can trump wise policy and good science.Even back then, this nontherapeutic use of antibiotics was being linked to the evolution of antibiotic resistance in bacteria that infect humans. To the leading microbiologists on the F.D.A.’s advisory committee, it was clearly a very bad idea to fatten animals with the same antibiotics used to treat people. But the American Meat Institute and its lobbyists in Washington blocked the F.D.A. proposal.

 Antibiotic resistance in your kitchen, playroom, car... — After years of begging from health advocates, the FDA and EPA are taking a second look at the chemical compound triclosan, an antibacterial that is put into, well, almost anything you can name: soaps, hand sanitizers, cutting boards, toys. Triclosan is suspected of interfering with hormone regulation in the body, and also increases resistance in organisms in our environment. (When I ask you to use hand sanitizers that contain only alcohol or salts, not antibacterials, triclosan is one of the things I’m thinking of.) The FDA will report its findings in a year. I’d rather see it happen sooner, but it’s a great move.

No progress on hospital-acquired infections — The Agency for Healthcare Research and Quality, part of the Department of Health and Human Services, has published its 2009 National Healthcare Quality Report. The news is not good. To quote the agency’s own language: “Very little progress has been made on eliminating health care-associated infections.” This is all hospital-acquired infections, not just MRSA, but MRSA is a leading organism. The ugly details:

  • Post-operative bloodstream infections up 8%
  • Post-operative catheter-associated urinary-tract infections up 3.6%
  • “Selected infections due to medical care” up by 1.6%
  • Bloodstream infections as a result of central lines unchanged.

(NB, three professional organizations — the Infectious Diseases Society of America, the Society for Healthcare Epidemiology of America, and the Association for Professionals in Infection Control — put out a statement in response to this report saying it “presents an outdated and incomplete picture on healthcare-associated infections (HAIs) in our healthcare system.” The gist of the statement seems to be that they’ve got better numbers coming… soon. When there’s actual data, I’ll let you know.)

SUPERBUG on Capitol Hill

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Constant readers, I’ve been shamefully absent from the blog, but with reason, since I’ve been traveling promoting the book. There was a pretty interesting opportunity this week that I wanted to tell you about: I was asked to be part of two Congressional briefings in Washington, DC Wednesday, addressing the overuse of antibiotics in agriculture and the contribution that makes to the emergence of resistant organisms such as MRSA. I went specifically to tell the story of the emergence of MRSA ST398, which we’ve been talking about for years here.

The briefings (FYI, “hearings” are for Congresspersons, “briefings” are for their staff) were cosponsored by the Pew Charitable Trusts, Union of Concerned Scientists, American Public Health Association, Infectious Diseases Society of America, and the nonprofit Keep Antibiotics Working.

Here’s Pew’s announcement, here’s the UCS version, here’s a write-up from the Washington Examiner, and here’s a longer one from the site Spectrum Science.

SUPERBUG on Capitol Hill

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Constant readers, I’ve been shamefully absent from the blog, but with reason, since I’ve been traveling promoting the book. There was a pretty interesting opportunity this week that I wanted to tell you about: I was asked to be part of two Congressional briefings in Washington, DC Wednesday, addressing the overuse of antibiotics in agriculture and the contribution that makes to the emergence of resistant organisms such as MRSA. I went specifically to tell the story of the emergence of MRSA ST398, which we’ve been talking about for years here.

The briefings (FYI, “hearings” are for Congresspersons, “briefings” are for their staff) were cosponsored by the Pew Charitable Trusts, Union of Concerned Scientists, American Public Health Association, Infectious Diseases Society of America, and the nonprofit Keep Antibiotics Working.

Here’s Pew’s announcement, here’s the UCS version, here’s a write-up from the Washington Examiner, and here’s a longer one from the site Spectrum Science.

My name in lights, sort of

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Huge appreciation to the friendly folks at Eagle Eye Book Shop in Decatur, GA, who had me in to speak last night, and who also very kindly supplied books for the panel discussion at Danya International yesterday afternoon. Many thanks to all for your support!

Surfacing. (Whew.) And some great reaction.

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Well, constant readers, it’s been an amazing two weeks. SUPERBUG was published, and ate my life. I’ve been on NPR’s Fresh Air, and on 21 (22?) other radio stations so far, with more radio, and TV, to come.

I’m starting to plan the next phase of the book campaign. If you work at a hospital or medical school, or are a student, contact me: Wherever you are, I’ll come talk.

This week I’m headed out for some tour appearances in Atlanta: at Georgia Gwinnett College on Wednesday, and on Thursday, at the offices of Danya International in the afternoon, and then at Eagle Eye Book Shop in Decatur Thursday night. If you need more details, email or tweet me!

The book has gotten some wonderful reviews and, what matters more to me at this point, blog reactions, because the blogs signal to me that real people are really engaging with the story. I’ve put excerpts and links up on the book’s site on this page.

Here’s one that just came in over the transom that just floored me. It’s from Rep. Louise Slaughter, Congress’s only microbiologist, author of PAMTA, the legislation intended to bring some direction and control to agricultural use of antibiotics:

Maryn McKenna’s Superbug provides a heart-rending and enlightening portrait of the spread of Methicillin-Resistant Staphylococcus Aureus (MRSA). Commonly imagined to be a disease that only affects elderly hospital patients, McKenna’s book shows that no area of the United States is untouched. Thirty percent of high school athletic programs in one survey reported MRSA. In another study, 80 percent of farms and 40 percent of pigs had MRSA. The consequences are horrific. In 2005, 94,360 invasive MRSA infections occurred in the United States, with almost 19,000 deaths.

In the United States, the response to MRSA has been largely uncoordinated, and left to individual institutions, schools, and health care centers. American hospitals have tried a range of responses. Some hospitals have tied executive pay to staff hand-washing rates; others isolate patients with MRSA. Nationwide educational campaigns reduced antibiotic prescription rates temporarily, only to see them rise again. The pipeline for new antibiotics dried up due to economic disincentives for drug companies to invest in short-course medications like antibiotics. The medical system has not yet been able to contain antibiotic resistant pathogens like MRSA.

The problem is just as dire on American farms. Limited action has been taken to reduce misuse of antibiotics in agriculture. While the FDA did ban agricultural usage of the powerful antibiotic fluoroquinalone, farms still regularly use powerful antibiotics as ‘growth promoters’ in daily feed for animals.  This year, I introduced legislation, HR 1549, the Preservation of Antibiotics for Medical Treatment Act, which would take additional steps to protect seven medically-critical classes of antibiotics for human usage against MRSA and other antibiotic resistant pathogens. Maryn McKenna’s book is a powerful call to action. 

– Louise M. Slaughter, MEMBER OF CONGRESS

 

Surfacing. (Whew.) And some great reaction.

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Well, constant readers, it’s been an amazing two weeks. SUPERBUG was published, and ate my life. I’ve been on NPR’s Fresh Air, and on 21 (22?) other radio stations so far, with more radio, and TV, to come.

I’m starting to plan the next phase of the book campaign. If you work at a hospital or medical school, or are a student, contact me: Wherever you are, I’ll come talk.

This week I’m headed out for some tour appearances in Atlanta: at Georgia Gwinnett College on Wednesday, and on Thursday, at the offices of Danya International in the afternoon, and then at Eagle Eye Book Shop in Decatur Thursday night. If you need more details, email or tweet me!

The book has gotten some wonderful reviews and, what matters more to me at this point, blog reactions, because the blogs signal to me that real people are really engaging with the story. I’ve put excerpts and links up on the book’s site on this page.

Here’s one that just came in over the transom that just floored me. It’s from Rep. Louise Slaughter, Congress’s only microbiologist, author of PAMTA, the legislation intended to bring some direction and control to agricultural use of antibiotics:

Maryn McKenna’s Superbug provides a heart-rending and enlightening portrait of the spread of Methicillin-Resistant Staphylococcus Aureus (MRSA). Commonly imagined to be a disease that only affects elderly hospital patients, McKenna’s book shows that no area of the United States is untouched. Thirty percent of high school athletic programs in one survey reported MRSA. In another study, 80 percent of farms and 40 percent of pigs had MRSA. The consequences are horrific. In 2005, 94,360 invasive MRSA infections occurred in the United States, with almost 19,000 deaths.

In the United States, the response to MRSA has been largely uncoordinated, and left to individual institutions, schools, and health care centers. American hospitals have tried a range of responses. Some hospitals have tied executive pay to staff hand-washing rates; others isolate patients with MRSA. Nationwide educational campaigns reduced antibiotic prescription rates temporarily, only to see them rise again. The pipeline for new antibiotics dried up due to economic disincentives for drug companies to invest in short-course medications like antibiotics. The medical system has not yet been able to contain antibiotic resistant pathogens like MRSA.

The problem is just as dire on American farms. Limited action has been taken to reduce misuse of antibiotics in agriculture. While the FDA did ban agricultural usage of the powerful antibiotic fluoroquinalone, farms still regularly use powerful antibiotics as ‘growth promoters’ in daily feed for animals.  This year, I introduced legislation, HR 1549, the Preservation of Antibiotics for Medical Treatment Act, which would take additional steps to protect seven medically-critical classes of antibiotics for human usage against MRSA and other antibiotic resistant pathogens. Maryn McKenna’s book is a powerful call to action. 

– Louise M. Slaughter, MEMBER OF CONGRESS

PUBLICATION DAY and so many people to thank. The short list:

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Sara Austin, Susan Raihofer, Emily Loose, Maura O’Brien, Ali Pisano, Dominick Anfuso, Martha Levin, Elizabeth Stein.
Andrew Dodds, David Ratner, Shirley Sandler, Chuck Monroe, Elise Bogdan.
Penny Duckham, Deirdre Graham, Matt James, Drew Altman;  Bruce Shapiro, Frank Ochberg, MD, Dorie Griggs.
Barth Anderson, Frances Katz, Quinton and Jean Gregor, Anne Edwards, MD, Joanne Kenen, Howard Gleckman. 
Michael Coston, Crawford Kilian, Scott McPherson, “Revere.”
Michael T. Osterholm, PhD; Kristine Moore, MD; Jim Wappes, Robert Roos, Lisa Schnirring; Kathleen Kimball-Baker; Nicholas Kelley,  Paul Mamula, PhD.
Coilin Nunan; Ramanan Laxminarayan; Donald Berwick, MD, Donald Goldmann, MD Frances Griffin, Joseph McCannon, Madge Kaplan; Lisa McGiffert.
James Sliwa, Steven Baragona.
Robert S. Daum, MD, Susan Boyle-Vavra, PhD, Everly Macario, SciD, Michael Z. David, MD, PhD, Susan Crawford, MD, Christopher Montgomery, MD, Ben Yoon, Lakesha Lloyd; Robert Bielski, MD, Stephen Weber, MD, John Easton.
Henry “Chip” Chambers, MD, Francoise Perdreau-Remington, PhD, Adam Hersh, MD, Binh An Diep, PhD, Kristen Bole; Rick Loftus, MD, Steve Gray.  Elizabeth Bancroft, MD, Nolan Lee, MD, Gregory J. Moran, MD, John Edwards, Jr., MD, Loren G. Miller MD.
John Bradley, MD, Bradley Peterson, MD. Don Janssen, DVM, Nadine Lamberski, DVM, Jeff Andrews.
Nicole Coffin, David Daigle, Rachel Gorwitz, MD, Jeffrey Hageman, Fred Tenover, PhD, Timothy Naimi, MD, Denise Cardo, MD,  Joan Brunkard, PhD, David Sugerman, MD, Roberta Carey PhD, Brandi Limbago PhD, Lonnie King DVM, Jennifer Wright DVM; Susan Sanchez, PhD; Arthur Kellermann, MD, Katherine Heilpern, MD, Henry Blumberg, MD, Leon Haley, MD, Michael Huey, MD, Andre Nahmias, MD; Tom Keating, PhD.
David Edell, Cathy Supak, Mike Carroll, Marilyn Felkner, MD.  Heinz Eichenwald, MD, Mari Nicholson-Preuss.
Gregory Belzley, Martha Sperling, Anita Alberts, Nate Wenstrup, Natalie Leonard, Carrie Takahata, Eric Balaban; John Clarke, MD, Luis Rivera, MD, Timothy Faloon, Rhonda Moore; Charles Alexander, Jr., Gary Benson, David White, Chris Pearson; Pierre Tattevin, MD, Jason Farley, PhD; Elizabeth Cumming, Katie Schwartzmann, Samuel Gore, MD.
Tara Smith, PhD, Michael Male, DVM, Abby Harper; J. Scott Weese, DVM; Andreas Voss, Md, PhD,  Jan Kluytmans, Md, PhD; Pat Gardiner.
Barry Farr, MD, William Jarvis, MD, William Schaffner, MD. Jeff Bender, DVM, BJ Anderson, MD, John Odom, MD, Marjorie Hogan, MD, Kirk Smith, DVM,  Patrick Schlievert, PhD.
Paul M. Wiles, Thomas N. Zweng, MD, Stephen L. Wallenhaupt, MD, James W. Lederer, Jr., MD, Suzie Rakyta, RN, Sandy Cox, RN, Patti Deltry, RN, Kati Everett. Keith M. Ramsey, MD, Kathy Cochran, RN, Delores Nobles.
Barry Eisenstein, MD, Richard Baltz, PhD, Grace Thorne, PhD Jared Silverman, PhD,  Kevin Tally, MD. Joann Lindenmayer, DVM, Robert Moellering, MD, Jeffrey Linder, MD. John Powers, MD,  Ron Najafi, PhD, Mary Beth Minyard,  Henry Shinefield, MD,  Lisa Bayne.
Allison Agwu, MD; Steven J. Barenkamp, MD; Gonzalo Bearman, MD; Benjamin Estrada, MD; Eugene L. Green; Brenda Hollier; Christoph U. Lehmann, MD; Nkuchia Mikinatha, DrPH; Michael Nagy, MD; Louis Rice, MD; Lisa Saiman, MD; Torrance Williams.
Rose Aliberti; Kepa Askenasy; James Bell; Michael Bennett; Laura Chen Davies, Robin Cook; Stephanie Crowell; Amber Don; Eva Ferguson and Beverly and Ernie Dieringer; Nick and Janet Johnson; Kevin Keller; Mollie and Brian Logan; Diane Lore and Richard Ross; Clarissa and Tony Love; Christina Marzullo; Jane McGuinn, Molly Donohue, Charlotte McGuinn Freeman; Steve, Sue and Pat McNees; Karen Moser; Carole and Ty Moss; Victoria Nahum; Melissa Quintana; Debbie Russ; Danielle Sheffler; Scott and Katie Smith; Andrea and Jay Sorensen; Jeanine Thomas; Suzanne Turpin Upton; Tom Wolff, Christine Fusco, Lourraine Stamets.
Samara Cummins, Krista Reese, Rich Eldredge. Lt. Col. Robert J. McKenna, Cerise McKenna Vablais, PhD, Zach McKenna. Rev. Robert E. Lauder, John J. McKenna. Matthew McKenna, Darla Albrigh, Davd Tuller, Randy Dotinga, Elizabeth McKenna.
Loren D. Bolstridge III.

From my heart, thank you all.

More from Fresh Air: a playlist

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In advance of the Fresh Air interview today, their tweeter(s) asked for suggestions for a MRSA playlist! Here’s some of the suggestions:
Fever, Peggy Lee
Countin’ On A Miracle, Bruce Springsteen
Ready or Not, the Delfonics (or as sampled by the Fugees)
Time to Get Ill, Beastie Boys
Hurts So Good, John Mellencamp (was he John Cougar Mellencamp then?)
Infected, Bad Religion
and of course:
I’ve Got You Under My Skin.

More from Fresh Air: handwashing and a playlist

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In advance of the Fresh Air interview today, their tweeter(s) asked for suggestions for a MRSA playlist! Here’s some of the suggestions:
Fever, Peggy Lee
Countin’ On A Miracle, Bruce Springsteen
Ready or Not, the Delfonics (or as sampled by the Fugees)
Time to Get Ill, Beastie Boys
Hurts So Good, John Mellencamp (was he John Cougar Mellencamp then?)
Infected, Bad Religion
and of course:
I’ve Got You Under My Skin.

They also dug up this awesome music video from University of Pennsylvania, “Heroes Wash Hands.” Enjoy.

PUBLICATION DAY and so many people to thank. The short list:

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Sara Austin, Susan Raihofer, Emily Loose, Maura O’Brien, Ali Pisano, Dominick Anfuso, Martha Levin, Elizabeth Stein.
Andrew Dodds, David Ratner, Shirley Sandler, Chuck Monroe, Elise Bogdan.
Penny Duckham, Deirdre Graham, Matt James, Drew Altman;  Bruce Shapiro, Frank Ochberg, MD, Dorie Griggs.
Barth Anderson, Frances Katz, Quinton and Jean Gregor, Anne Edwards, MD, Joanne Kenen, Howard Gleckman. 
Michael Coston, Crawford Kilian, Scott McPherson, “Revere.”
Michael T. Osterholm, PhD; Kristine Moore, MD; Jim Wappes, Robert Roos, Lisa Schnirring; Kathleen Kimball-Baker; Nicholas Kelley,  Paul Mamula, PhD.
Coilin Nunan; Ramanan Laxminarayan; Donald Berwick, MD, Donald Goldmann, MD Frances Griffin, Joseph McCannon, Madge Kaplan; Lisa McGiffert.
James Sliwa, Steven Baragona.
Robert S. Daum, MD, Susan Boyle-Vavra, PhD, Everly Macario, SciD, Michael Z. David, MD, PhD, Susan Crawford, MD, Christopher Montgomery, MD, Ben Yoon, Lakesha Lloyd; Robert Bielski, MD, Stephen Weber, MD, John Easton.
Henry “Chip” Chambers, MD, Francoise Perdreau-Remington, PhD, Adam Hersh, MD, Binh An Diep, PhD, Kristen Bole; Rick Loftus, MD, Steve Gray.  Elizabeth Bancroft, MD, Nolan Lee, MD, Gregory J. Moran, MD, John Edwards, Jr., MD, Loren G. Miller MD.
John Bradley, MD, Bradley Peterson, MD. Don Janssen, DVM, Nadine Lamberski, DVM, Jeff Andrews.
Nicole Coffin, David Daigle, Rachel Gorwitz, MD, Jeffrey Hageman, Fred Tenover, PhD, Timothy Naimi, MD, Denise Cardo, MD,  Joan Brunkard, PhD, David Sugerman, MD, Roberta Carey PhD, Brandi Limbago PhD, Lonnie King DVM, Jennifer Wright DVM; Susan Sanchez, PhD; Arthur Kellermann, MD, Katherine Heilpern, MD, Henry Blumberg, MD, Leon Haley, MD, Michael Huey, MD, Andre Nahmias, MD; Tom Keating, PhD.
David Edell, Cathy Supak, Mike Carroll, Marilyn Felkner, MD.  Heinz Eichenwald, MD, Mari Nicholson-Preuss.
Gregory Belzley, Martha Sperling, Anita Alberts, Nate Wenstrup, Natalie Leonard, Carrie Takahata, Eric Balaban; John Clarke, MD, Luis Rivera, MD, Timothy Faloon, Rhonda Moore; Charles Alexander, Jr., Gary Benson, David White, Chris Pearson; Pierre Tattevin, MD, Jason Farley, PhD; Elizabeth Cumming, Katie Schwartzmann, Samuel Gore, MD.
Tara Smith, PhD, Michael Male, DVM, Abby Harper; J. Scott Weese, DVM; Andreas Voss, Md, PhD,  Jan Kluytmans, Md, PhD; Pat Gardiner.
Barry Farr, MD, William Jarvis, MD, William Schaffner, MD. Jeff Bender, DVM, BJ Anderson, MD, John Odom, MD, Marjorie Hogan, MD, Kirk Smith, DVM,  Patrick Schlievert, PhD.
Paul M. Wiles, Thomas N. Zweng, MD, Stephen L. Wallenhaupt, MD, James W. Lederer, Jr., MD, Suzie Rakyta, RN, Sandy Cox, RN, Patti Deltry, RN, Kati Everett. Keith M. Ramsey, MD, Kathy Cochran, RN, Delores Nobles.
Barry Eisenstein, MD, Richard Baltz, PhD, Grace Thorne, PhD Jared Silverman, PhD,  Kevin Tally, MD. Joann Lindenmayer, DVM, Robert Moellering, MD, Jeffrey Linder, MD. John Powers, MD,  Ron Najafi, PhD, Mary Beth Minyard,  Henry Shinefield, MD,  Lisa Bayne.
Allison Agwu, MD; Steven J. Barenkamp, MD; Gonzalo Bearman, MD; Benjamin Estrada, MD; Eugene L. Green; Brenda Hollier; Christoph U. Lehmann, MD; Nkuchia Mikinatha, DrPH; Michael Nagy, MD; Louis Rice, MD; Lisa Saiman, MD; Torrance Williams.
Rose Aliberti; Kepa Askenasy; James Bell; Michael Bennett; Laura Chen Davies, Robin Cook; Stephanie Crowell; Amber Don; Eva Ferguson and Beverly and Ernie Dieringer; Nick and Janet Johnson; Kevin Keller; Mollie and Brian Logan; Diane Lore and Richard Ross; Clarissa and Tony Love; Christina Marzullo; Jane McGuinn, Molly Donohue, Charlotte McGuinn Freeman; Steve, Sue and Pat McNees; Karen Moser; Carole and Ty Moss; Victoria Nahum; Melissa Quintana; Debbie Russ; Danielle Sheffler; Scott and Katie Smith; Andrea and Jay Sorensen; Jeanine Thomas; Suzanne Turpin Upton; Tom Wolff, Christine Fusco, Lourraine Stamets.
Samara Cummins, Krista Reese, Rich Eldredge. Lt. Col. Robert J. McKenna, Cerise McKenna Vablais, PhD, Zach McKenna. Rev. Robert E. Lauder, John J. McKenna. Matthew McKenna, Darla Albrigh, Davd Tuller, Randy Dotinga, Elizabeth McKenna.
Loren D. Bolstridge III.

From my heart, thank you all.

Early book reaction! Positive so far

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Folks, it’s Sunday, and SUPERBUG will be officially released on Tuesday. Press copies have been landing at last. Readers who responded to my plea for pre-orders (because pre-orders are very important to how the publisher and the market behave subsequently about the book) have been telling me they’re getting emails saying the book is on its way.

And a few reviews are starting to pop up!

Kirkus said: “A gripping account of one of the most devastating infectious agents on the planet… A meticulously researched, frightening report on a deadly pathogen.”

Booklist said: “Lays bare, often all too graphically, the ravages of a disease with the potential to do grievous international harm.”

But of most value to me today, my blog-friend and supporter Michael Coston of Avian Flu Diary said this morning:

I can think of a great many superlatives to describe this book; engaging, harrowing, fascinating, powerful… even terrifying at times.
But the descriptive term that keeps coming back to me is: Important. …
Superbug, quite frankly, should be required reading for every doctor, nurse, and health care professional, if for no other reason than to alert them to the changes they must make in order to help curb the spread of these deadly pathogens.
But it should also be on the reading list of parents, students, and teachers who need to be able to recognize the early warning signs of infection.
And just as importantly, read by those who make policy at the local, state, and Federal level.  We either make institutional changes or risk serious peril from these resistant bacteria.

The cheering of Mike and other bloggers including Revere of Effect Measure and Crof of H5N1 has meant so much to me as I’ve worked on this book (and also written about flu and other diseases at CIDRAP.) I’m grateful.

Early book reaction! Positive so far.

By Leave a Comment

Folks, it’s Sunday, and SUPERBUG will be officially released on Tuesday. Press copies have been landing at last. Readers who responded to my plea for pre-orders (because pre-orders are very important to how the publisher and the market behave subsequently about the book) have been telling me they’re getting emails saying the book is on its way.

And a few reviews are starting to pop up!

Kirkus said: “A gripping account of one of the most devastating infectious agents on the planet… A meticulously researched, frightening report on a deadly pathogen.”

Booklist said: “Lays bare, often all too graphically, the ravages of a disease with the potential to do grievous international harm.”

But of most value to me today, my blog-friend and supporter Michael Coston of Avian Flu Diary said this morning:

I can think of a great many superlatives to describe this book; engaging, harrowing, fascinating, powerful… even terrifying at times.
But the descriptive term that keeps coming back to me is: Important. …
Superbug, quite frankly, should be required reading for every doctor, nurse, and health care professional, if for no other reason than to alert them to the changes they must make in order to help curb the spread of these deadly pathogens.
But it should also be on the reading list of parents, students, and teachers who need to be able to recognize the early warning signs of infection.
And just as importantly, read by those who make policy at the local, state, and Federal level.  We either make institutional changes or risk serious peril from these resistant bacteria.

The cheering of Mike and other bloggers including Revere of Effect Measure and Crof of H5N1 has meant so much to me as I’ve worked on this book (and also written about flu and other diseases at CIDRAP.) I’m grateful.

MRSA research round-up: hospitals, vitamins, pets

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Because I’ve been so behind, there’s so much to cover! So let’s dive in:

In today’s Archives of Surgery, researchers from Seattle’s Harborview Medical Center report that one simple addition to the routine of caring for trauma patients made a significant difference to the patients’ likelihood of acquiring a hospital-associated infection: bathing them once a day with the antiseptic chlorhexidine (in an impregnated wipe). Patients who were bathed with the antiseptic wipe, compared with patients wiped down with an inert solution, had one-fourth the likelihood of developing a catheter-related bloodstream infection and one-third the likelihood of ventilator-associated MRSA pneumonia. Cite: Evans HL et al. Effect of Chlorhexidine Whole-Body Bathing on Hospital-Acquired Infections Among Trauma Patients. Arch Surg. 2010;145(3):240-246.

How important are hospital-acquired infections? Here’s a piece of research from a few weeks ago that I sadly failed to blog at the time: Just two categories of HAIs, sepsis and pneumonia, account for 48,000 deaths and $8.1 billion in health care costs in a single year. Writing in the Archives of Internal Medicine, researchers from the nonprofit project Extending the Cure analyzed 69 million hospital-discharge records issued in 40 states between 1998 and 2006. Hospital charges and number of days that patients had to stay in the hospital were 40% higher because of those infections, many of which are caused by MRSA — and all of which are completely preventable. Cite: Eber, MR et al. Clinical and Economic Outcomes Attributable to Health care-Associated Sepsis and Pneumonia. Arch Intern Med. 2010; 170(4): 347-53.

 What else could reduce the rate of MRSA infections? How about Vitamin D? South Carolina scientists analyze data from the NHANES (National Health and Nutrition Examination Survey 2001-2004), a massive database overseen by the CDC, and find an association between low blood levels of Vit. D and the likelihood of MRSA colonization. More than 28% of the population is Vitamin D deficient. MRSA colonization is increasing in the US. Can giving Vit. D decrease MRSA carriage? More research needed. Cite: Matheson EM et al. Vitamin D and methicillin-resistant Staphylococcus aureus nasal carriage. Scand J Infect Dis. 2010 Mar 8. [Epub ahead of print]

And finally: Who else carries MRSA? Some unlucky pet owners have found that animals can harbor human strains, long enough at least to pass the strain back to a human whose colonization has been cleared. So it makes sense to ask whether humans who spend time with pets are carrying the bug. Last month’s Veterinary Surgery reports that the answer is Yes. Veterinarians are carrying MRSA in very significant numbers: 17% of vets and 18% of vet technicians at an international veterinary symposium held in San Diego in 2008. Cite: Burstiner, LC et al. Methicillin-Resistant Staphylococcus aureus Colonization in Personnel Attending a Veterinary Surgery Conference. Vet Surg. 2010 Feb;39(2):150-7.

MRSA research round-up: hospitals, vitamins, pets

By Leave a Comment

Because I’ve been so behind, there’s so much to cover! So let’s dive in:

In today’s Archives of Surgery, researchers from Seattle’s Harborview Medical Center report that one simple addition to the routine of caring for trauma patients made a significant difference to the patients’ likelihood of acquiring a hospital-associated infection:
bathing them once a day with the antiseptic chlorhexidine (in an impregnated wipe). Patients who were bathed with the antiseptic wipe, compared with patients wiped down with an inert solution, had
one-fourth the likelihood of developing a catheter-related bloodstream infection and
one-third the likelihood of ventilator-associated MRSA pneumonia. Cite: Evans HL et al. Effect of Chlorhexidine Whole-Body Bathing on Hospital-Acquired Infections Among Trauma Patients.
Arch Surg. 2010;145(3):240-246.

How important are hospital-acquired infections? Here’s a piece of research from a few weeks ago that I sadly failed to blog at the time: Just
two categories of HAIs, sepsis and pneumonia, account for 48,000 deaths and $8.1 billion in health care costs in a single year. Writing in the Archives of Internal Medicine, researchers from the nonprofit project Extending the Cure analyzed 69 million hospital-discharge records issued in 40 states between 1998 and 2006. Hospital charges and number of days that patients had to stay in the hospital were
40% higher because of those infections, many of which are caused by MRSA — and all of which are completely preventable. Cite: Eber, MR et al. Clinical and Economic Outcomes Attributable to Health care-Associated Sepsis and Pneumonia.
Arch Intern Med. 2010; 170(4): 347-53.

 What else could reduce the rate of MRSA infections? How about Vitamin D? South Carolina scientists analyze data from the NHANES (National Health and Nutrition Examination Survey 2001-2004), a massive database overseen by the CDC, and find
an association between low blood levels of Vit. D and the likelihood of MRSA colonization. More than 28% of the population is Vitamin D deficient. MRSA colonization is increasing in the US. Can giving Vit. D decrease MRSA carriage? More research needed. Cite: Matheson EM et al. Vitamin D and methicillin-resistant Staphylococcus aureus nasal carriage.
Scand J Infect Dis
. 2010 Mar 8. [Epub ahead of print]

And finally: Who else carries MRSA? Some unlucky pet owners have found that animals can harbor human strains, long enough at least to pass the strain back to a human whose colonization has been cleared. So it makes sense to ask whether humans who spend time with pets are carrying the bug. Last month’s Veterinary Surgery reports that the answer is Yes.
Veterinarians are carrying MRSA in very significant numbers: 17% of vets and 18% of vet technicians at an international veterinary symposium held in San Diego in 2008. Cite: Burstiner, LC et al. Methicillin-Resistant Staphylococcus aureus Colonization in Personnel Attending a Veterinary Surgery Conference.
Vet Surg. 2010 Feb;39(2):150-7.