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

Author

Listed:
  • Robin Köck

    (Institute of Hygiene, DRK Kliniken Berlin, Spandauer Damm 130, 14050 Berlin, Germany)

  • Karsten Becker

    (Friedrich-Loeffler-Institute for Medical Microbiology, University of Greifswald, Ferdinand-Sauerbruch-Straße, 17475 Greifswald, Germany)

  • Evgeny A. Idelevich

    (Institute of Medical Microbiology, University Hospital Münster, Domagkstraße 10, 48149 Münster, Germany)

  • Annette Jurke

    (Landeszentrum Gesundheit NRW, Gesundheitscampus 10, 44801 Bochum, Germany)

  • Corinna Glasner

    (Department of Medical Microbiology and Infection Prevention, University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9700RB Groningen, The Netherlands)

  • Ron Hendrix

    (Department of Medical Microbiology and Infection Prevention, University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9700RB Groningen, The Netherlands)

  • Alexander W. Friedrich

    (Department of Medical Microbiology and Infection Prevention, University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9700RB Groningen, The Netherlands)

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.

Suggested Citation

  • Robin Köck & Karsten Becker & Evgeny A. Idelevich & Annette Jurke & Corinna Glasner & Ron Hendrix & Alexander W. Friedrich, 2020. "Prevention and Control of Multidrug-Resistant Bacteria in The Netherlands and Germany—The Impact of Healthcare Structures," IJERPH, MDPI, vol. 17(7), pages 1-10, March.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:7:p:2337-:d:338993
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