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

1
Institute of Hygiene, DRK Kliniken Berlin, Spandauer Damm 130, 14050 Berlin, Germany
2
Friedrich-Loeffler-Institute for Medical Microbiology, University of Greifswald, Ferdinand-Sauerbruch-Straße, 17475 Greifswald, Germany
3
Institute of Medical Microbiology, University Hospital Münster, Domagkstraße 10, 48149 Münster, Germany
4
Landeszentrum Gesundheit NRW, Gesundheitscampus 10, 44801 Bochum, Germany
5
Department of Medical Microbiology and Infection Prevention, University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9700RB Groningen, The Netherlands
*
Authors to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(7), 2337; https://doi.org/10.3390/ijerph17072337
Received: 15 March 2020 / Revised: 28 March 2020 / Accepted: 29 March 2020 / Published: 30 March 2020
(This article belongs to the Special Issue Healthcare Infections and Prevention )
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. View Full-Text
Keywords: antimicrobial resistance; Euregio; MRSA; ESBL; MDRO; infection prevention; antibiotic use antimicrobial resistance; Euregio; MRSA; ESBL; MDRO; infection prevention; antibiotic use
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MDPI and ACS Style

Köck, R.; Becker, K.; Idelevich, E.A.; Jurke, A.; Glasner, C.; Hendrix, R.; Friedrich, A.W. Prevention and Control of Multidrug-Resistant Bacteria in The Netherlands and Germany—The Impact of Healthcare Structures. Int. J. Environ. Res. Public Health 2020, 17, 2337. https://doi.org/10.3390/ijerph17072337

AMA Style

Köck R, Becker K, Idelevich EA, Jurke A, Glasner C, Hendrix R, Friedrich AW. Prevention and Control of Multidrug-Resistant Bacteria in The Netherlands and Germany—The Impact of Healthcare Structures. International Journal of Environmental Research and Public Health. 2020; 17(7):2337. https://doi.org/10.3390/ijerph17072337

Chicago/Turabian Style

Köck, Robin, Karsten Becker, Evgeny A. Idelevich, Annette Jurke, Corinna Glasner, Ron Hendrix, and Alexander W. Friedrich 2020. "Prevention and Control of Multidrug-Resistant Bacteria in The Netherlands and Germany—The Impact of Healthcare Structures" International Journal of Environmental Research and Public Health 17, no. 7: 2337. https://doi.org/10.3390/ijerph17072337

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