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This document is used for collecting patient demographic information and summarizing the investigation of cases related to antibiotic-resistant Staphylococcus aureus (VISA/VRSA). It includes details
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How to fill out antibiotic resistant staphylococcus aureus

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How to fill out Antibiotic Resistant Staphylococcus aureus (VISA/VRSA) Patient Report Form

01
Begin by entering the patient's demographic information including name, age, and contact details.
02
Fill out the patient's medical history, including any previous infections and antibiotic treatments.
03
Specify the specimen type collected for testing (e.g., blood, wound, etc.).
04
Provide the date of specimen collection and the date of onset of symptoms.
05
Indicate the laboratory results, including the identification of VISA/VRSA and any sensitivities to antibiotics.
06
Include treatment information, specifying any prescribed antibiotics and treatment outcomes.
07
Complete the contact information for the healthcare provider submitting the form.
08
Review the form for completeness and accuracy before submission.

Who needs Antibiotic Resistant Staphylococcus aureus (VISA/VRSA) Patient Report Form?

01
Healthcare providers managing patients diagnosed with antibiotic-resistant Staphylococcus aureus (VISA/VRSA).
02
Infection control practitioners who need to track and report cases of VISA/VRSA.
03
Public health officials who require data for epidemiological tracking and prevention measures.
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People Also Ask about

VISA and VRSA are specific types of the bacteria called Staphylococcus aureus that have become resistant to the antibiotic vancomycin. Staphylococcus aureus, often simply referred to as “staph”, are bacteria commonly found on the skin and in the nose of healthy people.
VISA and VRSA differ in the amount of resistance they possess to vancomycin. S. aureus, also called staph, can infect or colonize any site of the body but it is one of the most common causes of skin infections in the United States.
Vancomycin-intermediate and vancomycin-resistant Staphylococcus aureus (VISA/VRSA) are specific types of antimicrobial-resistant Staphylococcus aureus (S. aureus) bacteria. Resistance to vancomycin in S. aureus is exceptionally rare.
Vancomycin-intermediate Staphylococcus aureus (VISA) and Vancomycin-resistant Staphylococcus aureus (VRSA) are staphylococcal bacteria that are less susceptible (VISA) or fully resistant (VRSA) to the antibiotic vancomycin.
VRSA can cause skin infections and/or severe invasive disease such as pneumonia, septicemia (bacteria gets in the blood), or even death. A small percentage of people carry VRSA bacteria and don't even know they have it. These people are colonized because they carry the bacteria around and usually never get sick.
MRSA is a type of staph that can be resistant to several antibiotics. Anyone can get a MRSA infection or carry MRSA. The risk increases for people with hospitalizations or nursing home stays, skin-to-skin contact with others (such as in contact sports), and exposure to crowded and unhygienic places.
All VRSA have contained the vancomycin resistance gene vanA, commonly found in vancomycin-resistant enterococci (VRE). The VanA gene typically confers (provides) high-level vancomycin resistance (MICs= 512-1024 µg/ml).
MRSA used to spread mostly in healthcare settings — among people in hospitals or long-term care facilities (healthcare-acquired MRSA or HA-MRSA). But since the 1980s, cases of community-acquired MRSA (CA-MRSA), have been going up. CA-MRSA affects healthy people who haven't been in a healthcare facility.

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The Antibiotic Resistant Staphylococcus aureus (VISA/VRSA) Patient Report Form is a standardized document used to collect data on patients diagnosed with infections caused by methicillin-resistant Staphylococcus aureus that have reduced susceptibility to vancomycin.
Healthcare providers, including hospitals and laboratories that identify cases of VISA or VRSA, are required to file the Antibiotic Resistant Staphylococcus aureus Patient Report Form.
To fill out the form, providers should provide patient information such as demographics, clinical details, laboratory test results, and treatment history. The form typically requires accurate and thorough details to ensure proper reporting.
The purpose of the form is to track the incidence and spread of VISA and VRSA infections, to monitor antibiotic resistance patterns, and to inform public health responses and interventions.
The report must include patient demographics, details of the clinical infection, lab identification methods, susceptibility test results, and information on antibiotic treatment received or planned.
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