scholarly journals National laboratory-based surveillance system for antimicrobial resistance: a successful tool to support the control of antimicrobial resistance in the Netherlands

2017 ◽  
Vol 22 (46) ◽  
Author(s):  
Wieke Altorf-van der Kuil ◽  
Annelot F Schoffelen ◽  
Sabine C de Greeff ◽  
Steven FT Thijsen ◽  
H Jeroen Alblas ◽  
...  
Keyword(s):  
Antimicrobial Resistance ◽  
The Netherlands ◽  
Surveillance System ◽  
Data Transfer ◽  
National Laboratory ◽  
Temporal Trends ◽  
Routine Data ◽  
Healthcare Services ◽  
Background Information ◽  
Surveillance Network

An important cornerstone in the control of antimicrobial resistance (AMR) is a well-designed quantitative system for the surveillance of spread and temporal trends in AMR. Since 2008, the Dutch national AMR surveillance system, based on routine data from medical microbiological laboratories (MMLs), has developed into a successful tool to support the control of AMR in the Netherlands. It provides background information for policy making in public health and healthcare services, supports development of empirical antibiotic therapy guidelines and facilitates in-depth research. In addition, participation of the MMLs in the national AMR surveillance network has contributed to sharing of knowledge and quality improvement. A future improvement will be the implementation of a new semantic standard together with standardised data transfer, which will reduce errors in data handling and enable a more real-time surveillance. Furthermore, the scientific impact and the possibility of detecting outbreaks may be amplified by merging the AMR surveillance database with databases from selected pathogen-based surveillance programmes containing patient data and genotypic typing data.

The Standardized Incidence Ratio as a Reliable Tool for Surgical Site Infection Surveillance

2006 ◽  
Vol 27 (08) ◽  
pp. 817-824 ◽  
Author(s):  
Christophe Rioux ◽  
Bruno Grandbastien ◽  
Pascal Astagneau
Keyword(s):  
Surgical Site Infection ◽  
Incidence Rate ◽  
Surveillance System ◽  
Risk Index ◽  
Temporal Trends ◽  
Site Infection ◽  
Standardized Incidence Ratio ◽  
Surveillance Network ◽  
Reliable Tool ◽  
Number Of Patients

Objective.To evaluate whether the standardized incidence ratio (SIR) is a more reliable tool for comparing rates and temporal trends of surgical site infection (SSI) in surgery wards than the incidence rate among patients with an National Nosocomial Infections Surveillance system (NNIS) risk index category of 0.Design.Observational, prospective cohort study in a sequential SSI surveillance system.Setting.Volunteer surgery wards in a surveillance network in northern France that annually conducted SSI surveillance for 3 months from 1998 to 2000.Methods.The incidence rate was the number of SSIs divided by the number of patients included, stratified by the NNIS risk index category. SIR was the observed number of SSIs divided by the expected number computed using a multiple regression model.Results.Overall, 26,904 patients in 67 surgery wards were enrolled. Between 1998 and 2000, the SSI incidence rate among patients with NNIS risk index category 0 decreased from 2.1% to 1.4%, which was a 33% reduction (P= .002). The SIR decreased from 1.2 (95% confidence interval [CI], 1.1-1.3) to 0.8 (95% CI, 0.7-0.9), which was a 20% decrease per year and an overall 33% reduction. The number of SSIs was significantly higher than expected in 17 of 201 surveillance periods over the 3 years. The classification of the wards according to the 2 indicators over the 3 years showed that wards with a high SIR did not consistently have the highest SSI incidence rate among patients with NNIS risk index category 0, partly because the type of surgical procedure and the duration of follow-up are not taken into account in the NNIS risk index.Conclusion.SIR should be considered a reliable indicator to estimate the reduction in SSI incidence that results from implementation of infection control policies and for comparison of SSI rates between wards.

scholarly journals European Antimicrobial Resistance Surveillance System (EARSS): susceptibility testing of invasive Staphylococcus aureus

2000 ◽  
Vol 5 (3) ◽  
pp. 34-36 ◽  
Author(s):  
I Veldhuijzen ◽  
S Bronzwaer ◽  
J Degener ◽  
J Kool ◽  
Collective les participants de EARSS / EARSS participants
Keyword(s):  
Public Health ◽  
Staphylococcus Aureus ◽  
Antimicrobial Resistance ◽  
The Netherlands ◽  
Surveillance System ◽  
Susceptibility Testing ◽  
Antimicrobial Resistance Surveillance

Over 400 laboratories participate in EARSS (European Antimicrobial Resistance Surveillance System) and send data to the National Institute of Public Health and the Environment (RIVM) in The Netherlands. Data on about 14 000 isolates of Staphylococcus aure

scholarly journals Quality Assessment of an Antimicrobial Resistance Surveillance System in a Province of Nepal

2021 ◽  
Vol 6 (2) ◽  
pp. 60
Author(s):  
Jyoti Acharya ◽  
Maria Zolfo ◽  
Wendemagegn Enbiale ◽  
Khine Wut Yee Kyaw ◽  
Meika Bhattachan ◽  
...  
Keyword(s):  
Antimicrobial Resistance ◽  
Surveillance System ◽  
Surveillance Data ◽  
World Health ◽  
Cross Sectional ◽  
Antimicrobial Resistance Surveillance ◽  
Data Collection Process ◽  
Data Compilation ◽  
Site Variation ◽  
Health Organization

Antimicrobial resistance (AMR) is a global problem, and Nepal is no exception. Countries are expected to report annually to the World Health Organization on their AMR surveillance progress through a Global Antimicrobial Resistance Surveillance System, in which Nepal enrolled in 2017. We assessed the quality of AMR surveillance data during 2019–2020 at nine surveillance sites in Province 3 of Nepal for completeness, consistency, and timeliness and examined barriers for non-reporting sites. Here, we present the results of this cross-sectional descriptive study of secondary AMR data from five reporting sites and barriers identified through a structured questionnaire completed by representatives at the five reporting and four non-reporting sites. Among the 1584 records from the reporting sites assessed for consistency and completeness, 77–92% were consistent and 88–100% were complete, with inter-site variation. Data from two sites were received by the 15th day of the following month, whereas receipt was delayed by a mean of 175 days at three other sites. All four non-reporting sites lacked dedicated data personnel, and two lacked computers. The AMR surveillance data collection process needs improvement in completeness, consistency, and timeliness. Non-reporting sites need support to meet the specific requirements for data compilation and sharing.

Healthcare-associated infections in high-risk neonates: Temporal trends in a national surveillance system

2021 ◽  
pp. 105394
Author(s):  
Ralciane P. Menezes ◽  
Sávia G.O. Melo ◽  
Murilo B. Oliveira ◽  
Felipe F. Silva ◽  
Priscila G.V. Alves ◽  
...  
Keyword(s):  
High Risk ◽  
Surveillance System ◽  
Temporal Trends ◽  
Healthcare Associated Infections ◽  
National Surveillance ◽  
Healthcare Associated ◽  
National Surveillance System

Temporal Trends in Antimicrobial Resistance of Fecal Escherichia coli from Deer

EcoHealth ◽  
2021 ◽  
Author(s):  
Gregory A. Ballash ◽  
Lohendy Munoz-Vargas ◽  
Amy Albers ◽  
Patricia M. Dennis ◽  
Jeffrey T. LeJeune ◽  
...  
Keyword(s):  
Escherichia Coli ◽  
Antimicrobial Resistance ◽  
Temporal Trends

scholarly journals A summary index for antimicrobial resistance in food animals in the Netherlands

2017 ◽  
Vol 13 (1) ◽  
Author(s):  
Arie H. Havelaar ◽  
Haitske Graveland ◽  
Jan van de Kassteele ◽  
Tizza P. Zomer ◽  
Kees Veldman ◽  
...  
Keyword(s):  
Antimicrobial Resistance ◽  
The Netherlands ◽  
Summary Index ◽  
Food Animals

Rising incidence of celiac disease in the Netherlands; an analysis of temporal trends from 1995 to 2010

2014 ◽  
Vol 49 (8) ◽  
pp. 933-941 ◽  
Author(s):  
Jordy P.W. Burger ◽  
Elisabeth A. Roovers ◽  
Joost P.H. Drenth ◽  
Jos W.R. Meijer ◽  
Peter J. Wahab
Keyword(s):  
Celiac Disease ◽  
The Netherlands ◽  
Temporal Trends ◽  
Rising Incidence

scholarly journals Socio-Sexual Experiences and Access to Healthcare Among Informal PrEP Users in the Netherlands

2020 ◽  
Author(s):  
Mart van Dijk ◽  
John B. F. de Wit ◽  
Rebecca Kamps ◽  
Thomas E. Guadamuz ◽  
Joel E. Martinez ◽  
...  
Keyword(s):  
Sexual Behavior ◽  
Qualitative Study ◽  
The Netherlands ◽  
Healthcare Providers ◽  
Well Being ◽  
Healthcare Services ◽  
Interpretive Description ◽  
Sex Partners ◽  
Sex With Men ◽  
Incorrect Information

AbstractThe aim of this qualitative study was to explore the experiences of informal PrEP users regarding access to PrEP and PrEP-related healthcare, community responses, sexual behavior and well-being. We interviewed 30 men who have sex with men (MSM) in semi-structured online interviews between March and August 2018. Interviews were analyzed using interpretive description. Informal PrEP users were well informed about the use of PrEP, but sometimes did not make use of renal testing. Participants reported a lack of PrEP knowledge among healthcare providers, which limited their access to PrEP and put them at risk, as they received incorrect information. Although some participants reported negative reactions from potential sex partners, most received positive reactions and were sometimes seen as more desirable sex partners. PrEP healthcare services should not only be accessible to formal PrEP users, but also to PrEP users who procure PrEP informally.

scholarly journals 1439. High Rates of Drug Resistance in Escherichia coli from a Pilot Antimicrobial Resistance Surveillance System in Cambodia

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S723-S724
Author(s):  
Vandarith Nov ◽  
Darapheak Chau ◽  
Chhorvann Chhea
Keyword(s):  
Public Health ◽  
Escherichia Coli ◽  
Staphylococcus Aureus ◽  
Antimicrobial Resistance ◽  
Blood Culture ◽  
Klebsiella Pneumoniae ◽  
Surveillance System ◽  
Methicillin Resistance ◽  
Salmonella Typhi ◽  
Blood Samples

Abstract Background Antimicrobial resistance (AMR) is a major and growing global public health problem. The Cambodia Ministry of Health established a pilot laboratory-based AMR surveillance system for blood specimens in 2017. The objective of this study is to characterize AMR among pathogenic isolates from blood samples. Methods A retrospective analysis was performed using one year of data from a pilot AMR Surveillance system in Cambodia. Four blood culture isolate pathogens were included: Escherichia coli, Klebsiella pneumoniae, Salmonella Typhi /Salmonella Paratyphi A and Staphylococcus aureus. Blood culture isolates that were referred from eleven sentinel sites were analyzed at the National Public Health Laboratory for identification. Antibiotic susceptibility testing (AST) was done using disk diffusion, minimum inhibitory concentration method following Clinical Laboratory Standard Institute (CLSI) guidelines. Results Among 214 pathogenic isolates from blood samples, E.coli was the most common (56.1%), followed by Salmonella Typhi/Salmonella Paratyphi A (18.7%), Staphylococcus aureus (13.5%), and Klebsiella pneumoniae (11.7%). Methicillin Resistance Staphylococcus aureus (MRSA) was detected in half of the isolates. E.coli was resistant to ampicillin (94.4%), trimethoprim-sulfamethoxazole (84.5%), and ceftriaxone (79.2%). Salmonella Typhi was resistant to ampicillin (73.3%) and trimethoprim-sulfamethoxazole (60.0%) and Salmonella Paratyphi A were resistant to fluoroquinolones (91.7%). For last resort antibiotics, E.coli was resistant to carbapenem groups (3.2% for imipenem, 4.9% for meropenem, and 5.0% for ertapenem). Klebsiella pneumoniae was not resistant to any groups. Conclusion E.coli was found at high rates in blood samples and was resistant to common antibiotics used in Cambodia. These pilot data show the importance of establishing a national AMR surveillance system in Cambodia to monitor AMR trends following GLASS guidelines. Disclosures All Authors: No reported disclosures

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