Cross-border comparison of the Dutch and German guidelines on multidrug-resistant Gram-negative microorganisms

Antimicrobial Resistance and Infection Control
Jan MüllerAlex W Friedrich

Abstract

In all European countries, hospital-acquired infections caused by Gram-negative multidrug-resistant microorganisms (GN-MDRO) are a major health threat, as these pathogens cannot be adequately treated anymore, or the start of effective antibiotic treatment is delayed. The efforts to limit the selection and spread of GN-MDRO remains a problem in cross-border healthcare, as the national guidelines on hygiene standards applicable for patients colonized or infected with GN-MDRO in hospitals are not harmonized between European countries. In order to point out the similarities and differences in the national guidelines of Germany and The Netherlands regarding GN-MDRO, guidelines were compared and an expert workshop was organized by the INTERREG IVa project EurSafety Health-net. Both guidelines divide the Gram-negative organisms into subgroups based on bacterial species and antibiotic susceptibility patterns in order to define multidrug-resistant variants of these bacteria. However, the Dutch guideline defines that GN-MDRO Enterobacteriaceae requires testing for certain mechanisms causing antibiotic resistance, whereas the German guideline makes use of a newly created classification scheme, based on phenotypic characterization. Besides...Continue Reading

References

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Citations

Sep 2, 2015·Future Microbiology·Jan-Willem H DikBhanu Sinha
May 20, 2015·The Journal of Hospital Infection·D LepelletierUNKNOWN National Working Group
Apr 15, 2016·Expert Review of Anti-infective Therapy·Jan-Willem H DikAlexander W Friedrich
Jul 16, 2016·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Lori A PollackUNKNOWN Transatlantic Taskforce on Antimicrobial Resistance (TATFAR) Expert Panel on Stewardship Structure and Process Indicators
Dec 14, 2016·Antimicrobial Agents and Chemotherapy·Andreas F WendelMatthias Willmann
May 17, 2017·Antimicrobial Resistance and Infection Control·E TartariA Voss
May 12, 2018·Microbial Drug Resistance : MDR : Mechanisms, Epidemiology, and Disease·Andreas F WendelColin R MacKenzie
Dec 7, 2018·Antimicrobial Resistance and Infection Control·Andreas F WendelFrauke Mattner
Dec 5, 2019·Antimicrobial Resistance and Infection Control·Aline WolfensbergerMichael Hombach
Aug 2, 2019·Antimicrobial Resistance and Infection Control·J KeizerJ E W C Van Gemert-Pijnen
Jan 2, 2020·Antimicrobial Resistance and Infection Control·Elena SchäferAndreas F Wendel
Jul 28, 2021·The Journal of Antimicrobial Chemotherapy·Robin BruyndonckxUNKNOWN ESAC-Net study group

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