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  2. Diseases and Conditions
  3. Staphylococcus Aureus (S. Aureus or “staph”)
  4. Methicillin-resistant Staphylococcus Aureus (MRSA)
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Infectious Disease Reporting

  • Infectious Disease Reporting Home
  • Reportable Diseases
  • Methods of Reporting
    • Report Immediately by Telephone
    • Phone Reporting
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  • Persons Required to Report
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Related Topics

  • Annual Summary of Disease Activity
  • Minnesota Electronic Disease Surveillance System (MEDSS)
  • Reporting Blood Lead Test Results

Infectious Disease Reporting

  • Infectious Disease Reporting Home
  • Reportable Diseases
  • Methods of Reporting
    • Report Immediately by Telephone
    • Phone Reporting
    • Report Forms
    • Order Reporting Forms
  • Persons Required to Report
  • Submitting Clinical Materials
  • Reporting Rule

Related Topics

  • Annual Summary of Disease Activity
  • Minnesota Electronic Disease Surveillance System (MEDSS)
  • Reporting Blood Lead Test Results
Contact Info
Infectious Disease Epidemiology, Prevention and Control Division
651-201-5414
IDEPC Comment Form

Contact Info

Infectious Disease Epidemiology, Prevention and Control Division
651-201-5414
IDEPC Comment Form

Invasive Staphylococcus aureus Active Bacterial Core Surveillance (ABCs) Case Report Form

This form is used for sentinel surveillance reporting of Invasive Methicillin-resistant Staphylococcus aureus in Hennepin and Ramsey Counties from selected sites to the Minnesota Department of Health.

On this page:
IMRSA form & instructions
Frequently asked questions
Returning the completed form
Diseases to report on this form

IMRSA form & instructions

  • Invasive Methicillin-Resistance Staphylococcus aureus Active Bacterial Core Surveillance Case Report Form (PDF)
    Updated 5/2018.
    • Invasive MRSA Case Report Form Instructions (PDF)
      Step-by-step instructions for filling out the Invasive MRSA Case Report Form.

Frequently asked questions

  • More about sentinel surveillance reporting of Invasive Methicillin-resistant Staphylococcus aureus in Hennepin and Ramsey Counties from selected sites: Invasive Staphylococcus aureus Reporting (including MRSA and MSSA).

  • If you have additional questions regarding this form, please call 651-201-5414.

  • When reporting on this form, a Yellow Card is not necessary.
    no yellow card

Returning the forms

After filling out this form, please return it to MDH:
  • By mail (please mark the envelope "confidential") to:
    Infectious Disease Epidemiology, Prevention and Control
    625 North Robert Street
    Post Office Box 64975
    St. Paul, MN 55164-0975
  • By fax to:
    1-800-233-1817

Diseases to report with this form

  • Invasive Staphylococcus aureus Reporting (including MRSA and MSSA)

More about these diseases

  • Methicillin-resistant Staphylococcus aureus (MRSA)
Tags
  • staph
Last Updated: 10/26/2022

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