Abstract
The Netherlands and Germany are neighbouring countries within the European Union but are differently affected by multidrug-resistant microorganisms (MDRO). In this narrative review, we summarize data about antibiotic use, the occurrence of MDRO and healthcare-associated infections in these two countries, as well as data about organizational and structural differences between the Dutch and German healthcare systems. These results are discussed with a focus on whether or how the organization of healthcare influences MDRO prevention. We found that from the point of view of MDRO prevention, a higher density of inpatient care, a higher number of hospitals, a longer length of stay and lower staffing ratios might facilitate MDRO dissemination in German hospitals.
Subject
Health, Toxicology and Mutagenesis,Public Health, Environmental and Occupational Health
Reference28 articles.
1. Attributable deaths and disability-adjusted life-years caused by infections with antibiotic-resistant bacteria in the EU and the European Economic Area in 2015: a population-level modelling analysis
2. Point Prevalence Survey of Healthcare-Associated Infections and Antimicrobial Use in European Acute Care Hospitals 2011–2012
https://ecdc.europa.eu/sites/portal/files/media/en/publications/Publications/healthcare-associated-infections-antimicrobial-use-PPS.pdf
3. Referentiecijfers 2014 t/m 2018: Prevalentieonderzoek Ziekenhuizen
https://www.rivm.nl/documenten/prezies-referentiecijfers-po-tm-2018
4. CDAD KISS Referenzdaten 2018
https://www.nrz-hygiene.de/fileadmin/nrz/module/cdad/201801_201812_CDAD_Ref.pdf
5. Thirteenth Annual Report of the National Reference Laboratory for Clostridioides difficile and Results of the Sentinel Surveillance
https://www.rivm.nl/sites/default/files/2019-09/Annual%20report%20C.%20difficile%20reference%20laboratory%20may%202018-may%202019.pdf
Cited by
8 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献