Healthcare Associated Infections: An Interoperable Infrastructure for Multidrug Resistant Organism Surveillance

Roberta Gazzarata, Maria Eugenia Monteverde, Carmelina Ruggiero, Norbert Maggi, Dalia Palmieri, Giustino Parruti and Mauro Giacomini
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Roberta Gazzarata: Healthropy S.r.l., 17100 Savona, Italy
Maria Eugenia Monteverde: Healthropy S.r.l., 17100 Savona, Italy
Carmelina Ruggiero: Healthropy S.r.l., 17100 Savona, Italy
Norbert Maggi: Healthropy S.r.l., 17100 Savona, Italy
Dalia Palmieri: Epidemiology Office, Azienda Unità Sanitaria Locale (AUSL) di Pescara, 65124 Pescara, Italy
Giustino Parruti: Department of Infectious Disease, Azienda Sanitaria Locale (AUSL) di Pescara, 65124 Pescara, Italy
Mauro Giacomini: Healthropy S.r.l., 17100 Savona, Italy

IJERPH, 2020, vol. 17, issue 2, 1-16

Abstract: Prevention and surveillance of healthcare associated infections caused by multidrug resistant organisms (MDROs) has been given increasing attention in recent years and is nowadays a major priority for health care systems. The creation of automated regional, national and international surveillance networks plays a key role in this respect. A surveillance system has been designed for the Abruzzo region in Italy, focusing on the monitoring of the MDROs prevalence in patients, on the appropriateness of antibiotic prescription in hospitalized patients and on foreseeable interactions with other networks at national and international level. The system has been designed according to the Service Oriented Architecture (SOA) principles, and Healthcare Service Specification (HSSP) standards and Clinical Document Architecture Release 2 (CDAR2) have been adopted. A description is given with special reference to implementation state, specific design and implementation choices and next foreseeable steps. The first release will be delivered at the Complex Operating Unit of Infectious Diseases of the Local Health Authority of Pescara (Italy).

Keywords: MDROs; interoperability; semantic harmonization; syntactic harmonization; data extraction; surveillance systems (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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