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

Robin Köck, Karsten Becker, Evgeny A. Idelevich, Annette Jurke, Corinna Glasner, Ron Hendrix and Alexander W. Friedrich
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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

IJERPH, 2020, vol. 17, issue 7, 1-10

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.

Keywords: antimicrobial resistance; Euregio; MRSA; ESBL; MDRO; infection prevention; antibiotic use (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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