Prevention and Control of Multidrug-Resistant Bacteria in The Netherlands and Germany—The Impact of Healthcare Structures

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 high... Mehr ...

Verfasser: Robin Köck
Karsten Becker
Evgeny A. Idelevich
Annette Jurke
Corinna Glasner
Ron Hendrix
Alexander W. Friedrich
Dokumenttyp: Text
Erscheinungsdatum: 2020
Verlag/Hrsg.: Multidisciplinary Digital Publishing Institute
Schlagwörter: antimicrobial resistance / Euregio / MRSA / ESBL / MDRO / infection prevention / antibiotic use
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-27198778
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://doi.org/10.3390/ijerph17072337

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.