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Infectious Disease Epidemiology, Prevention and Control Division
651-201-5414
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.
- Invasive MRSA Case Report Form Instructions (PDF)
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.
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
More about these diseases
Last Updated: 10/26/2022