{"id":10185,"date":"2025-03-01T14:03:03","date_gmt":"2025-03-01T19:03:03","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dph\/dhan222\/"},"modified":"2025-03-02T00:49:22","modified_gmt":"2025-03-02T05:49:22","slug":"dhan222","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dph\/php\/alerts\/dhan222\/","title":{"rendered":"php\/alerts\/dhan222 ~  Division of Public Health &#8211; &#8211; Health Alert  &#8211; Delaware Health and Social Services &#8211; State of Delaware"},"content":{"rendered":"<div data-swiftype-index=\"true\">\n\n\n\n  <br>\n\n\n\n  <div class=\"container\" id=\"main_header\"> \n\n    <!-- BEGIN readspeaker div -->\n\n    <div class=\"rs_skip rsbtn rs_preserve\" id=\"readspeaker_button1\">\n\n      <a accesskey=\"L\" class=\"rsbtn_play\" href=\"https:\/\/app-na.readspeaker.com\/cgi-bin\/rsent?customerid=7262&#038;lang=en_us&#038;readid=main_content&#038;url=https:\/\/dhss.delaware.gov\/dph\/php\/alerts\/dhan222.html\" title=\"Listen to this page using ReadSpeaker\">\n\n        <span class=\"rsbtn_left rsimg rspart\"><span class=\"rsbtn_text\"><span>Listen<\/span><\/span><\/span>\n\n        <span class=\"rsbtn_right rsimg rsplay rspart\"><\/span>\n\n      <\/a>\n\n    <\/div>\n\n    <!-- END readspeaker div -->\n\n\n\n    \n\n    <header class=\"pull-left\">\n\n      <h1>Delaware Health Alert Network #<!--[type=EDIT name=\"DHAN Number\"]-->222 <!--[END]--> <\/h1>\n\n      <h2> <!--[type=EDIT name=\"DHAN Date\"]-->April 14, 2010 5:28 pm <!--[END]--> <\/h2>\n\n    <\/header>\n\n  <\/div><br>\n\n \n\n  <div class=\"container\">\n\n    <div class=\"row\">\n\n      <div class=\"col-md-3\" id=\"leftCol\">\n\n        <div class=\"panel-group\" id=\"accordion\">\n\n          <div class=\"panel sectionmenu_panel\">\n\n            <div class=\"panel-heading\">\n\n              <p class=\"panel-title\"><a class=\"agency_nav\" data-parent=\"#accordion\" data-toggle=\"collapse\" href=\"#collapseOne\"><strong><i class=\"fa fa-align-justify fa-fw\"><\/i> Public Health Menu<\/strong><\/a><\/p>\n\n            <\/div>\n\n\n\n            <div class=\"panel-collapse collapse in\" id=\"collapseOne\">\n\n              <div class=\"panel-body\" id=\"clf_nav\">\n\n                  <ul class=\"nav nav-stacked nav-pills-clf\" id=\"agency_sidebar\">\n    <li><a href=\"\/dph\/\"><h2>Home <i class=\"fa fa-home fa-fw\"><\/i><\/h2><\/a><\/li>\n    <li class=\"toplevel\"><a data-parent=\"#agency_sidebar\" data-toggle=\"collapse\" href=\"#HomeMenu\"><h2>About <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\n      <ul class=\"panel-collapse collapse\" id=\"HomeMenu\">\n        <li><a href=\"\/dph\/about.html\">About DPH<\/a><\/li>\n        <li><a href=\"\/dph\/sections.html\">Sections &#038; 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Wellness<\/a><\/li>\n        <li><a href=\"\/dph\/hsp\/healthyhomes.html\">Healthy Homes<\/a><\/li>\n        <li><a href=\"\/dph\/hsp\/healthywp.html\">Healthy Workplaces<\/a><\/li>\n        <li><a href=\"\/dph\/lab\/labs.html\">Laboratory<\/a><\/li>\n        <li><a href=\"\/dph\/hsp\/feir.html\">Restaurant Inspections<\/a><\/li>\n        <li><a href=\"\/dph\/screen.html\">Screening and Testing<\/a><\/li>\n        <li><a href=\"\/dph\/chca\/dphwichominf01.html\">WIC<\/a><\/li>\n        <li><a href=\"\/dph\/servicesadd.html\">Additional Services<\/a><\/li><li>\n      <\/li><\/ul>\n    <\/li>\n    <li class=\"toplevel\"><a data-parent=\"#sidebar\" data-toggle=\"collapse\" href=\"#InformationMenu\"><h2>Information <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\n        <ul class=\"panel-collapse collapse\" id=\"InformationMenu\">\n        <li><a href=\"\/dph\/factsheetsaz.html\">A-Z Fact Sheets<\/a><\/li>\n        <li><a href=\"\/dph\/pubreportsaz.html\">A-Z Publications &#038; Reports<\/a><\/li>\n        <li><a href=\"\/dph\/diseasesandconditions.html\">Diseases &#038; 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The 63\n\n\n  year old patient with multiple co-morbidities was recently hospitalized in Delaware and was a short term resident of a Delaware long term\n\n\n  care facility in addition to receiving outpatient hemodialysis. On April 6, lab tests by the Centers for Disease Control and Prevention\n\n\n  (CDC) convirmed VRSA. The patient was later transferred to a Pennsylvania hospital.\n\n\n<\/p>\n\n\n<p>\n\n\n  The VRSA isolated by the DPH Laboratory and CDC is susceptible to daptomycin, linezolid, tigecycline, doxycycline, tetracycline and\n\n\n  bactrium.\n\n\n<\/p>\n\n\n<p>\n\n\n  <em>Staphylococcus aureus<\/em> is an important cause of healthcare and community-associated infections. Diseases associated with this\n\n\n  common pathogen range from mild skin and soft tissue infections to potentially fatal systemic infections and affects individuals of all\n\n\n  ages. Previously uniformly susceptible to penicillin, widespread use of this antibiotic led to increased resistance and resultant\n\n\n  reliance on vancomycin for treatment of methicillin-resistant <em>Staphylococcus aureus<\/em> (MRSA) infections. The increased use of\n\n\n  vancomycin has resulted in a change of the susceptibility of <em>Staphylococcus aureus<\/em> to this antibiotic.\n\n\n<\/p>\n\n\n<p>\n\n\n  The possibility of VRSA should be considered in patients who present with skin infections, bloodstream infections, surgical wound\n\n\n  infections, and have history of underlying chronic conditions (such as chronic skin ulcers and diabetes), previous treatment with\n\n\n  vancomycin, and history of MRSA or vancomycin resistant enterococcus (VRE).\n\n\n<\/p>\n\n\n<p>\n\n\n  VRSA infections are rare in the United States (U.S.). This Delaware case represents only the 11<sup>th<\/sup> confirmed case of VRSA\n\n\n  reported in the U.S. DPH Bureau of Epidemiology is investigating this case and possible contacts per CDC recommendation.\n\n\n<\/p>\n\n\n<h3>\n\n\n  Transmission of VRSA\n\n\n<\/h3>\n\n\n<p>\n\n\n  VRSA is potentially transmissible from person-to-person, but such transmission has not been documented. To date, all patients with\n\n\n  confirmed VRSA infections have had significant co-morbidities such as diabetes and renal disease, previous infections with MRSA, invasive\n\n\n  procedures and devices, recent hospitalizations and recent exposure to vancomycin and other antimicrobial agents.\n\n\n<\/p>\n\n\n<h3>\n\n\n  Prevention and Control\n\n\n<\/h3>\n\n\n<p>\n\n\n  Infection control guidelines and practices in healthcare facilities are well documented and include the prevention and control of\n\n\n  multidrug-resistant organisms (MDRO), including VRSA. Stringent handwashing, the use of barrier and contact precautions and appropriate\n\n\n  antibiotic use are the basis for controlling the spread of any infectious disease.\n\n\n<\/p>\n\n\n<p>\n\n\n  For detailed CDC guidelines for the control of VRSA please reference:\n\n\n<\/p>\n\n\n<p>\n\n\n  <a href=\"\/wp-content\/uploads\/sites\/10\/dph\/pdf\/visa_vrsa_guide.pdf\">http:\/\/www.cdc.gov\/ncidod\/dhqp\/pdf\/ar\/visa_vrsa_guide.pdf<\/a>\n\n\n<\/p>\n\n\n<h3>\n\n\n  For More Information\n\n\n<\/h3>\n\n\n<p>\n\n\n  For more information on VRSA, please visit the CDC website at: <a href=\"http:\/\/www.cdc.gov\/ncidod\/dhqp\/ar_visavrsa.html\">http:\/\/www.cdc.gov\/ncidod\/dhqp\/ar_visavrsa.html<\/a>.\n\n\n<\/p>\n\n\n<p>\n\n\n  DPH, Bureau of Epidemiology can be contacted at (302) 744-1033 or 1-888-295-5156.\n\n\n<\/p>\n\n\n<p>\n\n\n  ************************************\n\n\n<\/p>\n\n\n<p>\n\n\n  You are receiving this email because you are a registered member of the Delaware Health Alert Network. If you are not a member and would\n\n\n  like to subscribe, please register at <a href=\"https:\/\/healthalertde.org\">https:\/\/healthalertde.org<\/a>\n\n\n<\/p><br>\n\n\n<br>\n\n\n<p class=\"smalltext\"><a href=\"http:\/\/www.adobe.com\/products\/acrobat\/readstep2.html\"><img loading=\"lazy\" decoding=\"async\" alt=\"Download Adobe Acrobat Reader\" height=\"21\" src=\"\/wp-content\/uploads\/dhss\/img\/getacro60.gif\" width=\"60\"><\/a> Please note: Some of the files available on this page are in Adobe PDF format which requires Adobe Acrobat Reader.  A free copy of Adobe Acrobat Reader can be downloaded directly from <a href=\"http:\/\/www.adobe.com\/products\/acrobat\/readstep2.html\">Adobe <\/a>. If you are using an assistive technology unable to read Adobe PDF, please either view the corresponding text only version (if available) or visit Adobe&#8217;s <a href=\"http:\/\/access.adobe.com\">Accessibility Tools page<\/a>.<\/p>\n\n\n\n<!--[END]-->\n\n  \n\n        <div class=\"panel panel-danger\">\n\n          <div class=\"panel-heading\">    \n\n      <h2>Categories of Health Alert messages:<\/h2>\n\n       <\/div>\n\n       <div class=\"panel-body\">\n\n      <ul>\n\n        <li><strong>Health Alert:<\/strong> Conveys the highest level of importance; warrants immediate action or attention.<\/li>\n\n        <li><strong>Health Advisory:<\/strong> Provides important information for a specific incident or situation; may not require immediate action.<\/li>\n\n        <li><strong>Health Update:<\/strong> Provides updated information regarding an incident or situation; unlikely to require immediate action.<\/li>\n\n            <\/ul>\n\n         <div><strong>NOTE: This page is for informational purposes only and dated material (e.g. temporary websites) may not be available.<\/strong><\/div>\n\n          <\/div> \n\n        <\/div><br>  \n\n\n\n      <\/div>\n\n    <\/div>\n\n  <\/div><!-- \/container -->\n\n  <\/div>","protected":false},"excerpt":{"rendered":"<p>Listen Delaware Health Alert Network #222 April 14, 2010 5:28 pm Public Health Menu Home About About DPH Sections &#038; Programs Office Locations Contact Info Calendar Services A-Z Services Air &#038; Water Quality Birth, Death, &#038; Marriage Records Clinics Health Data &#038; Statistics Emergency Preparedness Health &#038; Wellness Healthy Homes Healthy Workplaces Laboratory Restaurant Inspections [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"parent":9294,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-10185","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10185","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/comments?post=10185"}],"version-history":[{"count":1,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10185\/revisions"}],"predecessor-version":[{"id":11361,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10185\/revisions\/11361"}],"up":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/9294"}],"wp:attachment":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/media?parent=10185"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}