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Healthcare Associated Infections, MRSA Surveillance & Research Integrity

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Health Watch USA Submitts Comments on PACCARB Goals of Combating Antibiotic Resistant Organisms.
"The committee should expand its focus on prevention to include patients and healthcare workers to undergo routine active surveillance for carriage of endemic MDROs. A reporting system of healthcare workers carriage and infections along with an economic safety net for those affected also needs to be implemented."     View Full Comment

Comment Letter Advocating for Periodic Testing of Healthcare Workers for MRSA Carriage.

  • 2018, Jan 1  CDC Drafts New Guidelines for Occupational Health Conduct assessments of infectious risks to HCWs
    "Kuhar says. There are likely to be continuing points of contention and clarification on achieving this balance. For example, a comment on the CDC draft guidelines submitted to the docket by Kevin T. Kavanagh, MD, MS, of Health Watch USA, said the document does not sufficiently address the risk of healthcare workers becoming carriers of MRSA and other drug-resistant pathogens. “Some of the resistant organisms such as MRSA have become endemic, and different methodologies for prevention of spread need to be instituted, such as routine periodic screening for carriers,” Kavanagh noted in the comments. "

  • 2018, Oct 31.  View Comment Letter Submitted to Regulations.Gov Regarding the Proposed CDC Recommendations  “Infection Control in Healthcare Personnel: Infrastructure and Routine Practices for Occupational Infection Prevention and Control Services.”  View Letter

View Related Peer Reviewed Commentary

  • 2017, July 13.  - View Comment Letter to CDC HICPAC Regarding Testing of Healthcare Workers for MRSA.  View Letter.

Comments and analysis of two underpowered studies where intervention groups have effective intervention less than 50% of the time. These studies appear to have prevented standards being set regarding MRSA Surveillance.

Transparency of Healthcare Associated Infections   

  • Public reporting of HAI is a major initiative of Health Watch USAsm. Information regarding Hospital Acquired Infections and Healthcare Acquired Conditions can be found at: 

  • Public reporting of HAI is a major initiative of Health Watch USAsm. Information regarding Hospital Acquired Infections and Healthcare Acquired Conditions can be found at:  View Document

  • HW USA Legislative Testimony on public disclosure of HAI can be view at: 

Below are the most recent legislative initiatives to pass public reporting of HAI.





2014 2015
KY Bill SB 118 HB 67 SB 72, HB 291 HB 460 KAR 902_2_020
Comment KY DPH CHFS Financial

Op-Eds Calling for Public Reporting of Healthcare Associated Infections

  • Jan. 31, 2012. 'Hospital Infections are Underreported.  Courier Journal, Louisville, KY, The case is made for Public Reporting and Full Disclosure of Adverse Events and Not to Charge Patients for These Events.
     View Op-Ed References    Linked to Archived Abstract    Link to Article Text

  • Jan. 21, 2011.  State Reporting on Hospital Infections - Lax, Dangerous   Lexington Herald Leader, Lexington, KY, As other states are issuing infection reports to the public. Kentuckians are endangered buy the lack of reporting and inhibited health department oversight.  View Op-Ed References   Link to Article Text

  • July. 25, 2010.  Hospital Acquired Infections Reporting and Kentucky's HAI Health Plan  Lexington Herald Leader, Lexington, KY, The State of Kentucky Needs to require hospitals to report all Hospital Acquired Infections.    Link to Article Text

  • Oct. 4, 2009. Keep Public Reporting in Reform Plan - Lexington Herald Leader, Lexington, KY, Public reporting of healthcare acquired infections is now supported by major national medical organizations.   Link to Article Text

  • July 9, 2009. Stop Hospital Borne Infections  Courier Journal, Louisville, KY, Public reporting of healthcare acquired infections is now in the process of implementation in 27 states. View CJ Editor's Comment on HAI        View CJ Editor's Comment on HAI    Link to Article Text

  • Jul 26, 2009  You should learn the ABSs of HAI and MRSA.  Courier Journal. 

Comments on Research Integrity and Use of Chlorhexidine to Prevent MRSA

  • 2016, Dec. - Patient Advocate Letter Sent to NEJM Regarding Evaluation for Retraction of the REDUCE MRSA Study.   View Letter   NEJM's Response:  View Response

  • 2016, Nov. - Health Watch USA Presentation on Research Integrity:  Kevin Kavanagh, MD, MS, discusses the impact that problems in research integrity has had in formulating healthcare policy in controlling infectious disease. The example of daily bathing with the antiseptic chlorhexidine verses surveillance and contact precautions for the control of MRSA is presented.

  • 2015, Jun. - FDA Comment on Rule for Additional Data on Antiseptics: HW USA, Consumers Union and patient advocates have sent a comment to the FDA requesting that they include the antiseptic chlorhexidine in their regulations calling for additional data on antiseptics.  Chlorhexidine is an antiseptic which some institutions are using for the prevention of MRSA (the deadly staph infections).  However, there have been questions regarding the integrity of some the research advocating for its use.    Read Comment and References: 

  • 2014, Dec. - Peer Reviewed Publication:  Conflict of Interest, Dr Charles Denham and the Journal of Patient Safety. J Patient Saf. 2014 Dec;10(4):181-185. PubMed PMID: 25408235.

  • 2014, Apr. - Peer Reviewed Publication:  Reply to ''Planned Analyses of the REDUCE MRSA Trial'' Kevin T. Kavanagh, Daniel M. Saman and Yanling Yu Antimicrob. Agents Chemother. 2014, 58(4):2486. DOI: 10.1128/AAC.02821-13. 

Congressional Enquiries on Control and Prevention of Methicillin resistant Staphylococcus aureus (MRSA). 

  • 2008, Feb. - Senator McConnell's Letter in Response to Lexington Herald Leader Op Ed: View Letter  View Op-Ed

  • 2010, Jun. - Congressional Inquiry by Senator McConnell to obtain the results of the Veterans Administration Protocol to control MRSA.   View Letter

  • 2010, May - Results of Congressional Inquiry which obtained the National Veterans Administration protocol results for control of MRSA.   View Document  

  • 2012, Aug. - Funding of the Star*ICU Study - Senator McConnell's Office.   View Document

HW USA - Presentations on MRSA Surveillance

HW USA - In House Publications on MRSA Surveillance and Policy Reports

  • Comment on: Docket No. CDC-2018-0099. “Infection Control in Healthcare Personnel: Infrastructure and Routine Practices for Occupational Infection Prevention and Control Services.”  Oct. 31, 2018.  Download Comment

  • Health Watch USA and Patient Advocates Public Comment to CDC HICPAC Calling For Periodic Screening of Healthcare Workers for MRSA,  Nov. 8, 2017.  Download Comment

  • The Role of Surveillance Cultures in the Prevention of Methicillin-resistant Staphylococcus aureus in Acute Care Facilities, Nov. 22, 2010.    Download PDF 557 K

  • Hospital Acquired Infections: The Necessity of Prevention and Mandatory Surveillance. Word Count 1464, Feb. 4, 2008 Download PDF 504 K