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Surveillance

The Florida Department of Health has several surveillance systems in place for monitoring antimicrobial resistance in Florida.

·        S. aureus

o       In 2005, FDOH began a partnership with Quest Diagnostics, a commercial laboratory that primarily serves outpatient providers operating throughout Florida.  Data for all S. aureus isolates are shared with FDOH and their susceptibility patterns are analyzed and reported here: MRSA reports (coming soon)

o       In the November 2008 revision to the FAC Rule 64D-3, Florida made community-associated S. aureus mortality a reportable condition.

o       Additionally, in November 2008, antibiotic susceptibilities for all S. aureus isolates from sterile sites became reportable via electronic laboratory reporting.  That data has been coming in gradually and will be shared on this page once it has been validated an analyzed.

·        S. pneumoniae

o        S. pneumoniae data for Florida (2008)

o       Surveillance for Invasive Streptococcus pneumoniae (2000)

·        Neisseria meningitides

o       The emergence of quinolone-resistant N. meningitidis in the U.S. has raised important questions regarding current chemoprophylaxis guidelines and highlights the expanding threat of antimicrobial resistance in bacterial pathogens.  The CDC responded to this threat by forming MeningNet, an enhanced meningococcal surveillance system that will be used to monitor antimicrobial susceptibility.  As part of MeningNet, Florida began forwarding all N. meningitidis isolates to CDC for antimicrobial susceptibility testing in late 2008. 

§        In 2008, a total of 4 isolates were tested, all of which were susceptible to penicillin, ceftriaxone, ciprofloxacin, rifampin, and azithromycin.

§        2009 AMR MeningNet Section (coming soon)

·        Outbreak Investigations - for summaries of selected investigations of outbreaks related to healthcare associated infections and/or antimicrobial resistant organisms conducted by the Florida Department of Health and Florida's County Health Departments, click here.

·        The Antimicrobial Resistance Monitoring (ARM) Program is an ongoing project designed to document trends in antimicrobial susceptibility patterns and identify relationships between antibiotic use and resistance rates. 

·        CDC has more extensive surveillance systems in place in different parts of the U.S.  Read more about them here.