Academic Journal
Description of a nationwide structure for monitoring nosocomial outbreaks of (highly resistant) microorganisms in the Netherlands:characteristics of outbreaks in 2012–2021
| العنوان: | Description of a nationwide structure for monitoring nosocomial outbreaks of (highly resistant) microorganisms in the Netherlands:characteristics of outbreaks in 2012–2021 |
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| المؤلفون: | Woudt, Sjoukje Hs, Schoffelen, Annelot F., Frakking, Florine Nj, Reuland, E. Ascelijn, Severin, Juliëtte A., den Drijver, Marije, Haenen, Anja, Nonneman, Marga Mg, Notermans, Daan W., aan de Stegge, Desiree Cm, de Stoppelaar, Sacha F., Vandenbroucke-Grauls, Christina Mje, de Greeff, Sabine C. |
| المصدر: | Woudt , S H , Schoffelen , A F , Frakking , F N , Reuland , E A , Severin , J A , den Drijver , M , Haenen , A , Nonneman , M M , Notermans , D W , aan de Stegge , D C , de Stoppelaar , S F , Vandenbroucke-Grauls , C M & de Greeff , S C 2023 , ' Description of a nationwide structure for monitoring nosocomial outbreaks of (highly resistant) microorganisms in the Netherlands : characteristics of outbreaks in 2012–2021 ' , Antimicrobial Resistance and Infection Control .... |
| سنة النشر: | 2023 |
| الوصف: | Background: Before 2012, established national surveillance systems in the Netherlands were not able to provide a timely, comprehensive epidemiological view on nosocomial outbreaks. The Healthcare-associated Infections and AntiMicrobial Resistance Monitoring Group (SO-ZI/AMR) was initiated in 2012 for timely national nosocomial outbreak monitoring and risk assessment. This paper aims to describe the achievements of the SO-ZI/AMR by presenting characteristics of outbreaks reported in 2012–2021. Methods: Hospitals and, since 2015, long-term care facilities (LTCF) were requested to report outbreaks when (1) continuity of care was threatened, or (2) transmission continued despite control measures. A multi-disciplinary expert panel (re-)assessed the public health risk of outbreaks during monthly meetings, using 5 severity phases and based on data collected via standardised questionnaires. We descriptively studied the panel’s consensus-based severity classification, distribution of (highly resistant) microorganisms, and duration and size of outbreaks between April 2012 and December 2021. Results: In total, 353 hospital outbreaks and 110 LTCF outbreaks were reported. Most outbreaks (hospitals: n = 309 (88%), LTCF: n = 103 (94%)) did not progress beyond phase 1 (no public health implications, outbreak expected to be controlled within two months), one hospital outbreak reached phase 4 (insufficient/ineffective response: possible public health threat, support offered). Highly resistant microorganisms (HRMO) were involved in 269 (76%) hospital and 103 (94%) LTCF outbreaks. Most outbreaks were caused by methicillin-resistant Staphylococcus aureus (MRSA; n = 93 (26%) in hospitals, n = 80 (72%) in LTCF), vancomycin-resistant Enterococcus faecium (VRE; n = 116 (33%) in hospitals, n = 2 (2%) in LTCF) and highly resistant Enterobacterales (n = 41 (12%) in hospitals, n = 20 (18%) in LTCF). Carbapenemase-producing gram-negative bacteria were involved in 32 (9.1%) hospital and five (4.5%) LTCF outbreaks. In hospitals, VRE outbreaks ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1186/s13756-023-01350-9 |
| الاتاحة: | https://research.vumc.nl/en/publications/b9224da1-c395-4913-bb54-0b0d88fe7afb https://doi.org/10.1186/s13756-023-01350-9 http://www.scopus.com/inward/record.url?scp=85178915474&partnerID=8YFLogxK |
| Rights: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.5A60E9D |
| قاعدة البيانات: | BASE |
| DOI: | 10.1186/s13756-023-01350-9 |
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